Healthcare Provider Details

I. General information

NPI: 1366018475
Provider Name (Legal Business Name): ERIKA GARCIA APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2021
Last Update Date: 05/29/2021
Certification Date: 05/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 WASHINGTON AVE
DUMONT NJ
07628-3697
US

IV. Provider business mailing address

40 WASHINGTON AVE
DUMONT NJ
07628-3697
US

V. Phone/Fax

Practice location:
  • Phone: 201-387-7055
  • Fax: 201-387-8605
Mailing address:
  • Phone: 201-387-7055
  • Fax: 201-387-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01155800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: