Jitendra J. Lodhavia, M.D.

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

25MA02730900 Issued in NJ

Practice address

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

Phone

(201) 488-4420

Fax

(201) 488-7570

NPI assigned

Dec 8, 2005

Last updated

Aug 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jitendra J. Lodhavia M.D. , P.a.

  • Addiction Medicine (Internal Medicine) Physician
  • Hackensack, NJ
  • NPI 1184947343
  Authorized official Same address or phone

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1225013600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SUMMIT AVE",
            "address_2": "GROUND FLOOR,REAR ENTERANCE",
            "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": {
        "last_name": "LODHAVIA",
        "first_name": "JITENDRA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA02730900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0K2690",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3025306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "BP437",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Lobue, MD
• Meghan Kluz Lockard, SC.D.
• Evan Locke, MD
• Frank Locurto, PA-C
• John J. Locurto Jr., MD
• George Emanuel Logothetis, D.C.
• Margarita Lolis, MD
• Anthony Lombardo
• Rosemarie B Londono, NP
• Denese Orquidea Longsworth, LSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.