Healthcare Provider Details

I. General information

NPI: 1215709639
Provider Name (Legal Business Name): PATRICIA RUMGAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2023
Last Update Date: 10/30/2023
Certification Date: 10/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S ORANGE AVE STE 201
LIVINGSTON NJ
07039-4910
US

IV. Provider business mailing address

70 S ORANGE AVE STE 201
LIVINGSTON NJ
07039-4910
US

V. Phone/Fax

Practice location:
  • Phone: 973-994-4738
  • Fax:
Mailing address:
  • Phone: 973-994-4738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06984600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: