Provider Demographics
NPI:1942407861
Name:NARISETY, SATYA D (MD)
Entity type:Individual
Prefix:
First Name:SATYA
Middle Name:D
Last Name:NARISETY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:622 EAGLE ROCK AVE STE G3
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2994
Mailing Address - Country:US
Mailing Address - Phone:908-295-7488
Mailing Address - Fax:972-424-1722
Practice Address - Street 1:622 EAGLE ROCK AVE STE G3
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-2994
Practice Address - Country:US
Practice Address - Phone:973-424-1300
Practice Address - Fax:972-424-1722
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245224207K00000X, 208000000X
NJ25MA08997400208000000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics