Active NPI
Nishtha Raval, MD
- Student in an Organized Health Care Education/Training Program
- Brick, NJ
National Provider Identifier
1700505708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - Phone
- (732) 840-2200
- NPI assigned
- Aug 23, 2022
- Last updated
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
425 Jack Martin Blvd
Brick, NJ 08724-7732
Mailing address
34 Yorktown Rd
Monmouth Junction, NJ 08852-3074
Other practice location 1
34 Yorktown Rd
Monmouth Junction, NJ 08852-3074
Phone (732) 710-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1700505708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 YORKTOWN RD",
"city": "MONMOUTH JUNCTION",
"state": "NJ",
"postal_code": "088523074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-840-2200"
}
],
"practiceLocations": [
{
"address_1": "34 Yorktown Rd",
"address_purpose": "LOCATION",
"city": "Monmouth Junction",
"state": "NJ",
"postal_code": "088523074",
"country_code": "US",
"telephone_number": "732-710-5530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAVAL",
"first_name": "NISHTHA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
- Mohammad Junaid Rana, M.D.
- Randolph Center for Oral and Maxillofacial Surgery, LLC
- Anis Rangwala, MD
- Rashmi Sandeep MD PA (Brick Pediatric Group)
- Faith Lynn Ratshin, RPH
- Alexander Rawji, MD, MPH
- Anusha Rayamajhi
- Raymond Baum, MD, LLC (Complete Psychiatric Services)
- Shinnecka Rayside
- Muhammad Rehan Raza, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.