Individual
DR. SONAL PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6045 KENNEDY BLVD, SUITE B, NORTH BERGEN, NJ 07047-3246
(201) 453-0322
(201) 453-0325
Mailing address
6045 KENNEDY BLVD, SUITE B, NORTH BERGEN, NJ 07047-3246
(201) 453-0322
(201) 453-0325
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA09178500
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
C1-0009164
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051725
MEDICARE GROUP PTAN
NJ
01
—
25MA09178500
LICENSE
NJ
05
—
329461
—
NJ
Enumeration date
05/09/2009
Last updated
03/30/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us