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NP Visits Of New Jersey, LLC

Nurse Practitioner, Adult Health in Rockaway, NJ. Organization (NPI-2).

NPI number1154094597
StatusActive
Last updated in NPPESAug 9, 2021

Details

NPI
1154094597
Entity type
Organization (NPI-2)
Legal business name
NP Visits Of New Jersey, LLC
Organization subpart
No
Enumeration date
Jul 30, 2021
Certification date
Aug 9, 2021
Last updated
Aug 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult Health––Yes

Practice location

100 Enterprise Dr Ste 301
Rockaway, NJ 07866-2129

Phone 602-703-2801 · Fax 844-800-1470

Mailing address

17 N Plank Rd Ste 10
Newburgh, NY 12550-2111

Phone 845-800-9305 · Fax 844-800-1470

Authorized official

Yvonne Pasqualicchio
Administrative Director
8458009305

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