Provider Demographics
NPI:1184912826
Name:JANI, SAMIR RANJIT (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:RANJIT
Last Name:JANI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1100 ROUTE 70
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:NJ
Mailing Address - Zip Code:08759-1003
Mailing Address - Country:US
Mailing Address - Phone:732-716-8116
Mailing Address - Fax:732-849-1511
Practice Address - Street 1:1100 ROUTE 70
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:NJ
Practice Address - Zip Code:08759-1003
Practice Address - Country:US
Practice Address - Phone:732-716-8116
Practice Address - Fax:732-849-1511
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09881700207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine