Healthcare Provider Details

I. General information

NPI: 1851680821
Provider Name (Legal Business Name): SWETA GOEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 09/22/2021
Certification Date: 09/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 PROSPECT AVE STE 208
HACKENSACK NJ
07601-2570
US

IV. Provider business mailing address

19 SKYMARK CT
UPPER SADDLE RIVER NJ
07458-2318
US

V. Phone/Fax

Practice location:
  • Phone: 551-252-5316
  • Fax: 201-849-7545
Mailing address:
  • Phone: 551-252-5316
  • Fax: 201-849-7545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number285256
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA09761300
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: