Healthcare Provider Details

I. General information

NPI: 1700749553
Provider Name (Legal Business Name): AVAONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LINCOLN HWY STE 311B
EDISON NJ
08820-3989
US

IV. Provider business mailing address

2 LINCOLN HWY STE 311B
EDISON NJ
08820-3989
US

V. Phone/Fax

Practice location:
  • Phone: 973-699-7505
  • Fax:
Mailing address:
  • Phone: 732-659-4797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHIRAG PATEL
Title or Position: PRESIDENT
Credential:
Phone: 973-699-7505