| NPI | 1730989336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIGNESH DESAI Owner 201-741-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2026-02-10 |