Healthcare Provider Details

I. General information

NPI: 1043139744
Provider Name (Legal Business Name): CEDARVIEW DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WALTER E FORAN BLVD STE 4006
FLEMINGTON NJ
08822-4675
US

IV. Provider business mailing address

5 WALTER E FORAN BLVD STE 4006
FLEMINGTON NJ
08822-4675
US

V. Phone/Fax

Practice location:
  • Phone: 973-755-2887
  • Fax: 908-842-0632
Mailing address:
  • Phone: 973-755-2887
  • Fax: 908-842-0632

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NIJINSKY DE LA CRUZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 973-755-2887