Basic Information
Provider Information
NPI: 1164500146
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BATWARA
FirstName: RUCHIKA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 31 RIVER CT
Address2: APT 1902
City: JERSEY CITY
State: NJ
PostalCode: 073102016
CountryCode: US
TelephoneNumber: 4144318516
FaxNumber:  
Practice Location
Address1: 1818 JOHN F KENNEDY BLVD
Address2: JERSEY CITY
City: JERSEY CITY
State: NJ
PostalCode: 07305
CountryCode: US
TelephoneNumber: 2013338222
FaxNumber: 2013330095
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 04/16/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X25MA09095300NJN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300X25MA09095300NJY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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