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

Nikita Ganatra

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104236298

Nikita Ganatra is an Emergency Medicine in Perth Amboy, New Jersey. Qualified in 2014, 12 years ago. Practices with Cep America - California, a 1,267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and New Jersey.

Years since qualifying
12
Licensed in
CA, NJ
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

530 New Brunswick Ave
Perth Amboy, NJ 08861-3654
Phone: (732) 324-5104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 506 6th St, Brooklyn, NY 11215-3609 — (718) 780-5040

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 25MA20009400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence A162855 (CA)

Record details

NPI number1104236298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2014
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing addressPo Box 3581, Jersey City, NJ 07303-3581

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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