Shree Tara Diversified
Durable Medical Equipment & Medical Supplies in Union City, New Jersey
1508583493- Practice location
- 2115 Bergenline Ave, Union City, NJ 07087-3507
- Phone
- 201-766-5538
- Fax
- 201-319-9340
- Last updated
- October 21, 2022
Shree Tara Diversified is a healthcare organization based in Union City, NJ. Shree Tara Diversified practices in Union City, NJ. The NPI Number for Shree Tara Diversified is 1508583493. The current practice location address for Shree Tara Diversified is 2115 Bergenline Ave, Union City, NJ 07087-3507 and can be reached out via phone at 201-766-5538 and via fax at 201-319-9340.
Provider Profile Details
- NPI Number
- 1508583493
- Provider Name
- Shree Tara Diversified
- Provider Entity Type
- Organization
- Address
- 2115 Bergenline Ave, Union City, NJ 07087-3507
- Phone Number
- 201-766-5538
- Fax Number
- 201-319-9340
- Primary Taxonomy
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Organization Subpart
- No
- Authorized Official
- Kushyup Shah, MD · Owner · 201-766-5538
- Other Names
- Derosa Medical Supplies (Doing Business As)
- Provider Enumeration Date
- October 21, 2022
- Last Update Date
- October 21, 2022
- Certification Date
- October 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2115 Bergenline Ave
Union City, NJ 07087-3507 - City
- Union City
- State
- New Jersey
- Zip
- 07087-3507
- Phone Number
- 201-766-5538
- Fax Number
- 201-319-9340
Provider Business Mailing Address Details
- Address
- 2115 Bergenline Ave
Union City, NJ 07087-3507 - City
- Union City
- State
- NJ
- Zip
- 07087-3507
- Phone Number
- 201-766-5538
- Fax Number
- 201-319-9340
License Information
- Taxonomy (1)
- Prosthetic/Orthotic Supplier · 335E00000X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Durable Medical Equipment & Medical Supplies providers near Union City, NJ
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Frequently Asked Questions
What is the NPI number of Shree Tara Diversified?
The NPI number of Shree Tara Diversified is 1508583493. It was assigned on October 21, 2022 and is currently active in the NPPES registry.
What is the specialty of Shree Tara Diversified?
Shree Tara Diversified is registered under the primary taxonomy Durable Medical Equipment & Medical Supplies (code 332B00000X).
Where does Shree Tara Diversified practice?
The practice location is 2115 Bergenline Ave, Union City, NJ 07087-3507. The office can be reached at 201-766-5538 (phone) or 201-319-9340 (fax).
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 1508583493 directly on the NPPES registry website.