Healthcare Provider Details

I. General information

NPI: 1265315089
Provider Name (Legal Business Name): VIRA HEALTH NJ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 HIGHBURY GROVE
LONDON UK
N5 2EF
GB

IV. Provider business mailing address

1257 WORCESTER RD # 1046
FRAMINGHAM MA
01701-5217
US

V. Phone/Fax

Practice location:
  • Phone: 866-856-2140
  • Fax:
Mailing address:
  • Phone: 866-856-2140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JANET NOEL
Title or Position: PRACTICE OWNER
Credential: MD
Phone: 866-856-2140