Individual
DR. NILAY MANOJKUMAR BAXI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
507 4TH AVE, ASBURY PARK, NJ 07712-6009
(732) 774-5600
Mailing address
507 4TH AVE, ASBURY PARK, NJ 07712-6009
(732) 774-5600
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
25MA08292200
NJ
208000000X
Pediatrics Physician
Primary
25MA08292200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11835006
CAQH
—
Enumeration date
03/07/2008
Last updated
04/25/2025
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