Healthcare Provider Details

I. General information

NPI: 1477464030
Provider Name (Legal Business Name): HANNAH VOROTINOV
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 ROUTE 33
NEPTUNE NJ
07753
US

IV. Provider business mailing address

1945 ROUTE 33
NEPTUNE NJ
07753
US

V. Phone/Fax

Practice location:
  • Phone: 732-775-5500
  • Fax:
Mailing address:
  • Phone: 763-614-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15650600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: