Healthcare Provider Details

I. General information

NPI: 1417425000
Provider Name (Legal Business Name): SATYANARAYAN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 01/19/2024
Certification Date: 01/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217-225 DURHAM AVE
SOUTH PLAINFIELD NJ
07080-2504
US

IV. Provider business mailing address

217-225 DURHAM AVENUE
SOUTH PLAINFIELD NJ
07080
US

V. Phone/Fax

Practice location:
  • Phone: 908-769-5100
  • Fax:
Mailing address:
  • Phone: 908-769-5100
  • Fax: 908-769-5104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. TEJAS L PATEL
Title or Position: MANAGING MEMBER
Credential:
Phone: 908-769-5100