Nutan Shirish Nadkarni, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA06880000 Issued in NJ

Practice address

3826 Park Ave
Suite 101
Edison, NJ 08820-2508

Phone

(732) 744-9400

Fax

(732) 516-0608

NPI assigned

Jul 6, 2006

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Pratima Vasant Kantak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Nutan Nadkarni MD Faap LLC

  dba Perth Amboy Pediatrics

  • Pediatrics Physician
  • Perth Amboy, NJ
  • NPI 1972995298
  NPD (past) Authorized official
• HMH Hospitals Corporation

  dba Raritan Bay Medical Center

  • General Acute Care Hospital
  • Perth Amboy, NJ
  • NPI 1790297455
  NPD (past)
• Wije Kottahachchi, MD Faap

  • Pediatrics Physician
  • Perth Amboy, NJ
  • NPI 1427450279
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1659302578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 PARK AVE",
            "address_2": "SUITE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202508",
            "telephone_number": "732-744-9400",
            "fax_number": "732-516-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 PARK AVE",
            "address_2": "SUITE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202508",
            "telephone_number": "732-744-9400",
            "fax_number": "732-516-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADKARNI",
        "first_name": "NUTAN",
        "middle_name": "SHIRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA06880000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11590963",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRATIMA",
            "last_name": "KANTAK",
            "middle_name": "VASANT",
            "prefix": "DR.",
            "credential": "MBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MWG Educator and Clinician LLC
• Maryna Mykhalova, AUD
• N G H I Inc (Edison Pharmacy)
• Melia Nacario
• Ali Naziyah Nadhim
• Sarah Michael Nageeb, DO
• Jeevanjyot Nagpal, PT, DPT
• Jason J Nagy, PA-C
• Lema Naieem
• Poojaben Naik

• Pediatrics Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.