Healthcare Provider Details

I. General information

NPI: 1871132506
Provider Name (Legal Business Name): ARIANA LEGREGNI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/28/2019
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 HANOVER RD STE 230
FLORHAM PARK NJ
07932-1508
US

IV. Provider business mailing address

70 WETMORE AVE
MORRISTOWN NJ
07960-5247
US

V. Phone/Fax

Practice location:
  • Phone: 973-382-8771
  • Fax:
Mailing address:
  • Phone: 973-934-6882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number25MP06611100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: