Healthcare Provider Details

I. General information

NPI: 1427555788
Provider Name (Legal Business Name): SEVIM RUZEHAJI MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 PASSAIC AVE UNIT A
KEARNY NJ
07032-1129
US

IV. Provider business mailing address

308 ORIENT WAY
RUTHERFORD NJ
07070-2821
US

V. Phone/Fax

Practice location:
  • Phone: 201-719-9371
  • Fax: 201-719-9406
Mailing address:
  • Phone: 201-478-3744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00771500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: