1922803527 NPI number — SABRINA DIWANE

Table of content: SABRINA DIWANE (NPI 1922803527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922803527 NPI number — SABRINA DIWANE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIWANE
Provider First Name:
SABRINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922803527
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
327 BEECH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07027-1403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-868-5364
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25 COMMERCE DR STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANFORD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07016-3621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-905-3444
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/17/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SL07130100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)