Basic Information
Provider Information
NPI: 1801909866
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SARKAR
FirstName: ARUNIMA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 30 PROSPECT AVENUE
Address2: DIV OF GERIATRICS
City: HACKENSACK
State: NJ
PostalCode: 076018503
CountryCode: US
TelephoneNumber: 5519961140
FaxNumber: 5519960543
Practice Location
Address1: 30 PROSPECT AVE
Address2: DIV OF GERIATRICS
City: HACKENSACK
State: NJ
PostalCode: 076011914
CountryCode: US
TelephoneNumber: 5519961140
FaxNumber: 5519960543
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 07/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0300X25MA07970700NJN Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
207RG0300X25MA0790700NJY Allopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine

ID Information
IDTypeStateIssuerDescription
25MA0797070001NJNJ OFFICE OF ATTORNEY GENERAL, DIVISION OF CONSUMER AFFAIRSOTHER


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