Healthcare Provider Details

I. General information

NPI: 1255278396
Provider Name (Legal Business Name): EUGENIE JOSEPH APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 S ORANGE AVE
EAST ORANGE NJ
07018-2314
US

IV. Provider business mailing address

PO BOX 830826
PHILADELPHIA PA
19182-0826
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-1050
  • Fax: 609-890-0950
Mailing address:
  • Phone: 609-890-1050
  • Fax: 609-890-0950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number359585
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15558200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: