Healthcare Provider Details

I. General information

NPI: 1265665194
Provider Name (Legal Business Name): SATYANARAYAN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EHEL ROAD SUITE 106 C
EDISON NJ
08817-2838
US

IV. Provider business mailing address

1 ETHEL RD STE 106C
EDISON NJ
08817-2838
US

V. Phone/Fax

Practice location:
  • Phone: 908-769-5100
  • Fax: 908-769-5104
Mailing address:
  • Phone: 908-769-5100
  • Fax: 908-769-5104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number12014
License Number StateNJ

VIII. Authorized Official

Name: MR. TEJAS PATEL
Title or Position: MEMBER
Credential: L.N.H.A.
Phone: 908-769-5100