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NPI Code Detail

MEDICARE: SACHI SHELAT VYAS

MEDICARE: SACHI SHELAT VYAS
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
1363L00000XNurse Practitioner26NJ15447800NJ

General Provider Information

NPI Number : 1972482313
Entity Type Code : Individual
Provider Name (Legal Business Name) : SACHI SHELAT VYAS
Provider Business Mailing Address
First Line : 1 CLARA MAASS DR STE 200
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-3550
Country : US
Telephone Number : 201-510-0912
Fax Number : 201-621-6865
Provider Business Practice Location Address
First Line : 1 CLARA MAASS DR STE 200
Second Line :
City : BELLEVILLE
State : NJ
Zip : 07109-3550
Country : US
Telephone Number : 201-510-0912
Fax Number : 201-621-6865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2025
Last Update Date : 12/29/2025

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Directions to “ SACHI SHELAT VYAS ” Practice Location

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