Healthcare Provider Details

I. General information

NPI: 1699447847
Provider Name (Legal Business Name): SAHIL PRASHANT NAIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 BROAD ST STE 3
CLIFTON NJ
07013-3346
US

IV. Provider business mailing address

1135 BROAD ST STE 3
CLIFTON NJ
07013-3346
US

V. Phone/Fax

Practice location:
  • Phone: 973-754-2423
  • Fax: 973-754-2410
Mailing address:
  • Phone: 973-754-2433
  • Fax: 973-754-2410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMT224051
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT224051
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: