Jitendra J. Lodhavia M.D. , P.a.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

25MA02730900 Issued in NJ

Legal business name

JITENDRA J. LODHAVIA M.D. , P.A.

Practice address

71 Summit Ave
Ground Floor, Rear Entrance
Hackensack, NJ 07601-1262

Phone

(201) 488-4420

Fax

(201) 488-7570

NPI assigned

Mar 2, 2010

Last updated

Mar 2, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jitendra J Lodhavia, MDNPI 1225013600

Title

President

Phone

(201) 488-4420

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jitendra J. Lodhavia, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Hackensack, NJ
  • NPI 1225013600
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1184947343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SUMMIT AVE",
            "address_2": "GROUND FLOOR, REAR ENTRANCE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-488-4420",
            "fax_number": "201-488-7570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SUMMIT AVE",
            "address_2": "GROUND FLOOR, REAR ENTRANCE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011262",
            "telephone_number": "201-488-4420",
            "fax_number": "201-488-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JITENDRA J. LODHAVIA M.D. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "LODHAVIA",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-488-4420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA02730900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Internal Medicine) Physician in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Addiction Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.