Provider Demographics
NPI:1407732969
Name:AMRUTIYA, HITESHKUMAR G
Entity type:Individual
Prefix:
First Name:HITESHKUMAR
Middle Name:G
Last Name:AMRUTIYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 KEYPORT RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2654
Mailing Address - Country:US
Mailing Address - Phone:587-888-7891
Mailing Address - Fax:
Practice Address - Street 1:1702 KUSER RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3704
Practice Address - Country:US
Practice Address - Phone:609-438-3000
Practice Address - Fax:609-438-3001
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04435700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist