Individual
JAI B AGARWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 JIMMY CT, SOMERSET, NJ 08873-7100
(732) 846-0928
(732) 846-0928
Mailing address
1 JIMMY CT, SOMERSET, NJ 08873-7100
(732) 846-0928
(732) 846-0928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA52985
NJ
207R00000X
Internal Medicine Physician
Primary
MA052985
NJ
207RC0000X
Cardiovascular Disease Physician
25MA05298500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0359380006
CIGNA
NJ
05
—
0420701
—
NJ
01
—
060015487
RR MCR PTAN
NJ
01
—
10442
UNIVERSITY HEALTH PLANS
NJ
01
—
109108
AMERIHEALTH
NJ
01
—
1093650
HORIZON NJ HEALTH
NJ
01
—
123565
ONE HEALTH PLAN OF NJ
NJ
01
—
53542
AETNA
NJ
01
—
780222259
HORIZON
NJ
01
—
F04677
HEALTHNET
NJ
01
—
MI000005200
AMERICHOICE
NJ
01
—
P522059
OXFORD
NJ
Enumeration date
10/27/2006
Last updated
06/17/2020
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