Provider Demographics
NPI:1174700561
Name:SARASWATI D. DAYAL, MD, LLC
Entity type:Organization
Organization Name:SARASWATI D. DAYAL, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADJUNT ASSISTANT PROFESSOR
Authorized Official - Prefix:
Authorized Official - First Name:SARASWATI
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:DAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-996-2900
Mailing Address - Street 1:5 SUMMIT AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-8503
Mailing Address - Country:US
Mailing Address - Phone:201-996-2900
Mailing Address - Fax:201-883-1268
Practice Address - Street 1:5 SUMMIT AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8503
Practice Address - Country:US
Practice Address - Phone:201-996-2900
Practice Address - Fax:201-883-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ070360002086S0102X, 2086S0127X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ132454Medicaid
NJ093543Medicare PIN
NJ137715Medicare UPIN