Provider Demographics
NPI:1538336904
Name:GILL, JASRAI SINGH (MD MBA)
Entity type:Individual
Prefix:DR
First Name:JASRAI
Middle Name:SINGH
Last Name:GILL
Suffix:
Gender:M
Credentials:MD MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 BEAVERSON BLVD STE 8C
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-7861
Mailing Address - Country:US
Mailing Address - Phone:732-262-4262
Mailing Address - Fax:732-262-4317
Practice Address - Street 1:9 MULE RD STE E1
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5052
Practice Address - Country:US
Practice Address - Phone:732-281-1101
Practice Address - Fax:732-281-1105
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09309300207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology