Healthcare Provider Details

I. General information

NPI: 1568955367
Provider Name (Legal Business Name): CHRISTOPHER ANDREW CIOFFI APN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DIAMOND HILL RD
BERKELEY HEIGHTS NJ
07922-2104
US

IV. Provider business mailing address

505 MAPLE AVE
SOUTH PLAINFIELD NJ
07080-4016
US

V. Phone/Fax

Practice location:
  • Phone: 908-219-6940
  • Fax:
Mailing address:
  • Phone: 908-380-7751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00825500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: