Healthcare Provider Details

I. General information

NPI: 1205770070
Provider Name (Legal Business Name): MARIA TOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 WESTMINSTER PL APT 3
GARFIELD NJ
07026-1393
US

IV. Provider business mailing address

81 WESTMINSTER PL APT 3
GARFIELD NJ
07026-1393
US

V. Phone/Fax

Practice location:
  • Phone: 201-647-9649
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15556800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: