Healthcare Provider Details

I. General information

NPI: 1770008302
Provider Name (Legal Business Name): LAUREN GASPARINI APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 07/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 OLD SHORT HILLS RD
LIVINGSTON NJ
07039
US

IV. Provider business mailing address

30B VREELAND RD STE 200
FLORHAM PARK NJ
07932-1926
US

V. Phone/Fax

Practice location:
  • Phone: 973-322-5207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00754800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number26NJ00754800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: