Healthcare Provider Details

I. General information

NPI: 1609466432
Provider Name (Legal Business Name): DIMPAL NARENDRA RANA DNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W BLACKWELL ST
DOVER NJ
07801-2525
US

IV. Provider business mailing address

400 W BLACKWELL ST
DOVER NJ
07801-2525
US

V. Phone/Fax

Practice location:
  • Phone: 973-625-6334
  • Fax: 973-989-3058
Mailing address:
  • Phone: 973-625-6334
  • Fax: 973-989-3058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number26NJ01102200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: