Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BEACON HEALTH SERVICES LLC
Active
Organization
BEACON HEALTH SERVICES LLC
Active
Other names
Beacon Health Sciences
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAKTHI KUMAR DHA (FOUNDER & CEO)
(908) 333-4665
Entity
Organization
Contact information
Practice address
802 OLD SPRINGFIELD AVE, SUMMIT, NJ 07901-1130
(908) 333-4665
Mailing address
802 OLD SPRINGFIELD AVE, SUMMIT, NJ 07901-1130
(908) 333-4665
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
170100000X
Ph.D. Medical Genetics
—
NULL
170100000X
Ph.D. Medical Genetics
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers