MEDICARE: DR. RAMESH M SARVAIYA M.D. ANESTHESIOLOGIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist		NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	25MA07343200	OTHER	NJ	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	D08111300	OTHER	NJ	CDS

General Provider Information

NPI Number	:	1578558748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMESH M SARVAIYA M.D. ANESTHESIOLOGIS

Provider Business Mailing Address
First Line	:	509 N BROAD ST
Second Line	:
City	:	WOODBURY
State	:	NJ
Zip	:	08096-1617
Country	:	US
Telephone Number	:	856-845-0100
Fax Number	:	856-848-7023

Provider Business Practice Location Address
First Line	:	17 W RED BANK AVE
Second Line	:	SUITE 302
City	:	WOODBURY
State	:	NJ
Zip	:	08096-1630
Country	:	US
Telephone Number	:	856-848-4464
Fax Number	:	856-848-7023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	03/07/2023

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