Healthcare Provider Details
I. General information
NPI: 1336096874
Provider Name (Legal Business Name): TACHYONLEAP INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14203 ROOKERY CT
WEST WINDSOR NJ
08550-5438
US
IV. Provider business mailing address
14203 ROOKERY CT
WEST WINDSOR NJ
08550-5438
US
V. Phone/Fax
- Phone: 609-968-2471
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SAUMYA
SANJEEV
Title or Position: FOUNDER, CEO
Credential:
Phone: 609-968-2471