Provider Demographics
NPI:1730072448
Name:SARGAM NANAVATI OT LLC
Entity type:Organization
Organization Name:SARGAM NANAVATI OT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATION THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARGAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NANAVATI
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:856-392-1699
Mailing Address - Street 1:62 INWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-9595
Mailing Address - Country:US
Mailing Address - Phone:856-392-1699
Mailing Address - Fax:
Practice Address - Street 1:62 INWOOD DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-9595
Practice Address - Country:US
Practice Address - Phone:856-392-1699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-31
Last Update Date:2025-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health