Healthcare Provider Details

I. General information

NPI: 1568292118
Provider Name (Legal Business Name): SYLVIA BEGHYN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 08/09/2025
Certification Date: 08/06/2024
Deactivation Date: 08/17/2024
Reactivation Date: 08/09/2025

III. Provider practice location address

30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US

IV. Provider business mailing address

56 WEAVER ST
LITTLE FALLS NJ
07424-1046
US

V. Phone/Fax

Practice location:
  • Phone: 551-996-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number26NR17629400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: