Healthcare Provider Details

I. General information

NPI: 1841443314
Provider Name (Legal Business Name): SEKAR NATARAJAN MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 01/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 PALISADE AVE SUITE #213
JERSEY CITY NJ
07306-1133
US

IV. Provider business mailing address

PO BOX 208
LIVINGSTON NJ
07039-0208
US

V. Phone/Fax

Practice location:
  • Phone: 201-653-4247
  • Fax: 201-426-2349
Mailing address:
  • Phone: 973-666-3743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number25MA08157500
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number25MA08157500
License Number StateNJ

VIII. Authorized Official

Name: DR. SEKAR NATARAJAN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 201-234-1816