Healthcare Provider Details

I. General information

NPI: 1194483040
Provider Name (Legal Business Name): DENISE BENDER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DENISE BENDER RN, APN

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MADISON AVE
MORRISTOWN NJ
07960-6136
US

IV. Provider business mailing address

25 ROBERT ST
ROCKAWAY NJ
07866-2707
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-5000
  • Fax:
Mailing address:
  • Phone: 973-864-7404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number26NR16070900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ01255400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: