Healthcare Provider Details

I. General information

NPI: 1679413272
Provider Name (Legal Business Name): BEBINA NMN GHIMIRE APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SHADOWLAWN DR
LIVINGSTON NJ
07039-3215
US

IV. Provider business mailing address

25 SHADOWLAWN DR
LIVINGSTON NJ
07039-3215
US

V. Phone/Fax

Practice location:
  • Phone: 603-738-1558
  • Fax:
Mailing address:
  • Phone: 603-738-1558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15572800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: