Healthcare Provider Details

I. General information

NPI: 1396194536
Provider Name (Legal Business Name): VATSALYA ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2016
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 STELTON RD UNIT 6-10
PISCATAWAY NJ
08854-5999
US

IV. Provider business mailing address

1412 STELTON RD UNIT 6-10
PISCATAWAY NJ
08854-5999
US

V. Phone/Fax

Practice location:
  • Phone: 718-971-3016
  • Fax:
Mailing address:
  • Phone: 732-444-2641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. BHAVIN MEHTA
Title or Position: OWNER
Credential:
Phone: 718-971-3016