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

Mitul Kanzaria, MD

Individual provider Cardiovascular Disease Physician · NPI 1639499023

Mitul Kanzaria, MD is a Cardiovascular Disease (Cardiology) in Sunnyside, Washington. Qualified in 2010, 16 years ago. Practices with Robert Wood Johnson Physician Enterprise, a 71-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey and Washington.

Years since qualifying
16
Licensed in
NJ, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone: (509) 837-1500
Fax: (509) 837-4908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 318 Chris Gaupp Dr, Galloway, NJ 08205-4460 — (609) 404-9900
  • 833 Chestnut St, Philadelphia, PA 19107-4414 — (215) 955-6000
  • 502 W 4th Ave, Toppenish, WA 98948-1616 — (809) 865-3105

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence MD61239644 (WA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 25MA10166600 (NJ)

Record details

NPI number1639499023
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 8, 2010
Last updated in NPPESJuly 7, 2025
Certification dateJuly 7, 2025
Mailing address2500 English Creek Ave, Suite 602, Egg Harbor Township, NJ 08234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Robert Wood Johnson Physician Enterprise — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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