Active NPIOrganization

Vistara Diagnostics LLC

Nurse Practitioner, Family in Hillsborough, New Jersey

NPI Number1336050624
Practice location
105 Raider Blvd Apt 2R, Hillsborough, NJ 08844-1528
Fax
—
Last updated
September 15, 2026

Vistara Diagnostics LLC is a healthcare organization based in Hillsborough, NJ. Vistara Diagnostics LLC practices in Hillsborough, NJ. The NPI Number for Vistara Diagnostics LLC is 1336050624. The current practice location address for Vistara Diagnostics LLC is 105 Raider Blvd Apt 2R, Hillsborough, NJ 08844-1528 and can be reached out via phone at 312-358-6968.

Provider Profile Details

NPI Number
1336050624
Provider Name
Vistara Diagnostics LLC
Provider Entity Type
Organization
Address
105 Raider Blvd Apt 2R, Hillsborough, NJ 08844-1528
Phone Number
312-358-6968
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Organization Subpart
No
Authorized Official
Fnu Syed Azharuddin · Owner · 312-358-6968
Provider Enumeration Date
September 15, 2026
Last Update Date
September 15, 2026
Certification Date
September 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
105 Raider Blvd Apt 2R
Hillsborough, NJ 08844-1528
Zip
08844-1528
Phone Number
312-358-6968
Hillsborough, NJ 08844Get directions →

Provider Business Mailing Address Details

Address
105 Raider Blvd Apt 2R
Hillsborough, NJ 08844-1528
City
Hillsborough
State
NJ
Zip
08844-1528
Phone Number
312-358-6968

License Information

Taxonomy (1)
Clinic/Center, Pain · 261QP3300X
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vistara Diagnostics LLC?

The NPI number of Vistara Diagnostics LLC is 1336050624. It was assigned on September 15, 2026 and is currently active in the NPPES registry.

What is the specialty of Vistara Diagnostics LLC?

Vistara Diagnostics LLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X).

Where does Vistara Diagnostics LLC practice?

The practice location is 105 Raider Blvd Apt 2R, Hillsborough, NJ 08844-1528. The office can be reached at 312-358-6968 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336050624 directly on the NPPES registry website.

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