Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krunal Trivedi

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689249328

Krunal Trivedi is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2021.

Licensed in
NJ
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

111 Central Ave Dept D7
Newark, NJ 07102-1909
Phone: (973) 877-5465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 25MA12134200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA12134200 (NJ)

Record details

NPI number1689249328
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address12 Davey Dr, West Orange, NJ 07052-2174

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