Unknown Individual – Nurse Practitioner, NPI 1619920766
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1200 E RIDGEWOOD AVE STE 304EAST
RIDGEWOOD, NJ 074503957
Phone: (201) 689-9400
Fax: (201) 689-9404
Type: Mailing
1200 E RIDGEWOOD AVE STE 304
RIDGEWOOD, NJ 07450
Phone: (201) 689-9400
Fax: (201) 689-9404
Type: Location
1124 E Ridgewood Ave
Suite 202
Ridgewood, NJ 074503915
Phone: (201) 689-8070
Fax: (201) 689-9404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| C H I R O P R A C T I C | NJ | |
| Internal Medicine | NJ | |
| - | PA | |
| - | NJ | |
| - | NC | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ |
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