Healthcare Provider Details

I. General information

NPI: 1790592624
Provider Name (Legal Business Name): CLARE KIRALY APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2024
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 PARK AVE
FLORHAM PARK NJ
07932-1049
US

IV. Provider business mailing address

15 CENTER AVE APT 1
MORRISTOWN NJ
07960-9340
US

V. Phone/Fax

Practice location:
  • Phone: 908-273-4300
  • Fax:
Mailing address:
  • Phone: 908-370-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15203000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15203000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: