Healthcare Provider Details

I. General information

NPI: 1295591345
Provider Name (Legal Business Name): TOSAL SAXENA FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TOSAL PATEL FNP-BC

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 05/29/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 KINDERKAMACK RD
RIVER EDGE NJ
07661-2307
US

IV. Provider business mailing address

887 KINDERKAMACK RD STE 2
RIVER EDGE NJ
07661-2307
US

V. Phone/Fax

Practice location:
  • Phone: 201-464-0860
  • Fax:
Mailing address:
  • Phone: 201-464-0860
  • Fax: 888-440-2752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR20737400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number837001
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number351843
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15007400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: