Healthcare Provider Details

I. General information

NPI: 1932016995
Provider Name (Legal Business Name): NATALIE HISHMEH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 ROUTE 17
EAST RUTHERFORD NJ
07073-2104
US

IV. Provider business mailing address

76 LILAC LN
PARAMUS NJ
07652-5291
US

V. Phone/Fax

Practice location:
  • Phone: 201-266-0269
  • Fax:
Mailing address:
  • Phone: 201-470-9429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15635800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: