Healthcare Provider Details

I. General information

NPI: 1962884791
Provider Name (Legal Business Name): ARYAY GEFEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 12/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SCHOOL RD E SUITE 2
MARLBORO NJ
07746-2062
US

IV. Provider business mailing address

131 MORRISTOWN RD
BASKING RIDGE NJ
07920-1654
US

V. Phone/Fax

Practice location:
  • Phone: 732-866-9922
  • Fax: 732-866-9970
Mailing address:
  • Phone: 732-284-1335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00575200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: