Healthcare Provider Details

I. General information

NPI: 1184496648
Provider Name (Legal Business Name): STORY HEALTH PARTNERS OF NJ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2023
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 MISSION ST STE 2900
SAN FRANCISCO CA
94105-1858
US

IV. Provider business mailing address

201 MISSION ST STE 2900
SAN FRANCISCO CA
94105-1858
US

V. Phone/Fax

Practice location:
  • Phone: 703-477-4662
  • Fax: 866-226-8774
Mailing address:
  • Phone: 703-477-4662
  • Fax: 866-226-8774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHUL GOVIL
Title or Position: PRESIDENT AND CEO
Credential: MD
Phone: 703-477-4662