# RAYDIANT AESTHETICS & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417886094
- **Authorized official:** ROSHNI P PATEL APRN (OWNER/PROVIDER)
- **Authorized official phone:** (732) 713-4832

## Contact information

- **Practice address:** 300 EXECUTIVE DR STE 100, WEST ORANGE, NJ 07052-3310
- **Practice address phone:** (732) 713-4832
- **Mailing address:** 1 CARRIAGE CITY PLZ APT 1622, RAHWAY, NJ 07065-5190
- **Mailing address phone:** (732) 713-4832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/18/2026
- **Last updated:** 05/18/2026
