Healthcare Provider Details

I. General information

NPI: 1326813742
Provider Name (Legal Business Name): MEDICINE 4 U LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2023
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 MONASTERY PL STE A
UNION CITY NJ
07087-4464
US

IV. Provider business mailing address

18 AUTUMN DR
SCOTCH PLAINS NJ
07076-2428
US

V. Phone/Fax

Practice location:
  • Phone: 201-620-6166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA P SHUKLA
Title or Position: OWNER, PROVIDER
Credential: DO
Phone: 201-620-6166