Healthcare Provider Details

I. General information

NPI: 1154765683
Provider Name (Legal Business Name): SAJI ENTERPRISES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

971 E. LANCASTER AVE
DOWNINGTOWN PA
19335-5344
US

IV. Provider business mailing address

P.O. BOX 60310
KING OF PRUSSIA PA
19406-0310
US

V. Phone/Fax

Practice location:
  • Phone: 215-990-9015
  • Fax: 215-979-6720
Mailing address:
  • Phone: 215-990-9015
  • Fax: 215-979-6720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SAJI J SIMON
Title or Position: OWNER/PRESIDENT
Credential: DPM
Phone: 215-990-9015