Healthcare Provider Details

I. General information

NPI: 1538013610
Provider Name (Legal Business Name): OXANA DANYSHEVA APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2185 LEMOINE AVE STE 1H
FORT LEE NJ
07024-6030
US

IV. Provider business mailing address

2185 LEMOINE AVE STE 1H
FORT LEE NJ
07024-6030
US

V. Phone/Fax

Practice location:
  • Phone: 877-959-8180
  • Fax:
Mailing address:
  • Phone: 888-701-6472
  • Fax: 800-309-6903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15524500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: