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General NPI Number Information
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NPI Number | 1023483609
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Entity Type | Individual
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Provider Name | RESHMA ATUL SAKARIA PA
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 530 NEW BRUNSWICK AVE
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-3654
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Country | US
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Telephone | 732-324-5075
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Fax | 732-324-4959
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Provider Business Mailing Address
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Address Line | 2425 KENMORE ST
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City | EAST MEADOW
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State | NY
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Zip | 11554-4109
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Country | US
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Telephone | 516-413-7703
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 019024
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00703700
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License Number State | NJ
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