Healthcare Provider Details

I. General information

NPI: 1861809063
Provider Name (Legal Business Name): ANSHINI DALAL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2014
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1076 PARKWAY AVE
EWING NJ
08628-3002
US

IV. Provider business mailing address

1076 PARKWAY AVE
EWING NJ
08628-3002
US

V. Phone/Fax

Practice location:
  • Phone: 609-883-1605
  • Fax:
Mailing address:
  • Phone: 609-883-1605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberR93092
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number25MD00338400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: