=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457274367
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NIVIA PADHY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2026
-----------------------------------------------------
Last Update Date | 07/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 190 NJ-18
-----------------------------------------------------
City | EAST BRUNSWICK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-333-8520
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 48 PROVIDENCE BLVD
-----------------------------------------------------
City | KENDALL PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08824-1922
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 929-602-5886
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------