Active NPIIndividual provider

Shyam Noruthun, APN

Nurse Practitioner, Family in Newark, New Jersey

NPI Number1962611376
Practice location
140 Bergen Street, Newark, NJ 09103
Fax
—
Last updated
September 11, 2025

Shyam Noruthun is a Nurse Practitioner, Family based in Newark, NJ. Shyam Noruthun practices in Newark, NJ and has the professional credentials of APN. The NPI Number for Shyam Noruthun is 1962611376 and holds a License No. 26nj00013300 (NJ). The current practice location address for Shyam Noruthun is 140 Bergen Street, Newark, NJ 09103 and can be reached out via phone at 973-972-8092.

Provider Profile Details

NPI Number
1962611376
Provider Name
Shyam Noruthun
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
140 Bergen Street, Newark, NJ 09103
Phone Number
973-972-8092
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
May 22, 2007
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
140 Bergen Street
Newark, NJ 09103
City
Newark
Zip
09103
Phone Number
973-972-8092
Newark, NJ 09103Get directions →

Provider Business Mailing Address Details

Address
136 W Hazelwood Ave
Rahway, NJ 07065-3102
City
Rahway
State
NJ
Zip
07065-3102

License Information

License Number (1)
26nj00013300
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26nj00013300
License State (2)
NJ
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 Shyam Noruthun, APN?

The NPI number of Shyam Noruthun, APN is 1962611376. It was assigned on May 22, 2007 and is currently active in the NPPES registry.

What is the specialty of Shyam Noruthun, APN?

Shyam Noruthun, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26nj00013300.

Where does Shyam Noruthun, APN practice?

The practice location is 140 Bergen Street, Newark, NJ 09103. The office can be reached at 973-972-8092 (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 1962611376 directly on the NPPES registry website.

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