Healthcare Provider Details

I. General information

NPI: 1821602194
Provider Name (Legal Business Name): SAHNI RHEUMATOLOGY & THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

842 BROADWAY
W LONG BRANCH NJ
07764-1503
US

IV. Provider business mailing address

842 BROADWAY
W LONG BRANCH NJ
07764-1503
US

V. Phone/Fax

Practice location:
  • Phone: 732-272-1456
  • Fax: 888-481-1478
Mailing address:
  • Phone: 732-272-1456
  • Fax: 888-481-1478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: KIREN SAHNI
Title or Position: PRESIDENT
Credential: DO
Phone: 732-388-1221