Healthcare Provider Details

I. General information

NPI: 1275624660
Provider Name (Legal Business Name): RAJVEER SACHDEV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 GREENWOOD LAKE TPKE STE 201
RINGWOOD NJ
07456-1502
US

IV. Provider business mailing address

20 GREENWOOD LAKE TPKE STE 201
RINGWOOD NJ
07456-1502
US

V. Phone/Fax

Practice location:
  • Phone: 973-370-5102
  • Fax: 973-221-4036
Mailing address:
  • Phone: 973-370-5102
  • Fax: 973-221-4036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA8125400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number251034
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: