Provider Demographics
NPI:1255389177
Name:SATHE, SWATI A (MD)
Entity type:Individual
Prefix:DR
First Name:SWATI
Middle Name:A
Last Name:SATHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SWATI
Other - Middle Name:S
Other - Last Name:BHIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:703 MAIN ST
Mailing Address - Street 2:X618
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07503-2621
Mailing Address - Country:US
Mailing Address - Phone:973-754-2743
Mailing Address - Fax:973-754-3376
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:X618
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2743
Practice Address - Fax:973-754-3376
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA092533002084N0400X
NY2586782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0360911Medicaid