Healthcare Provider Details

I. General information

NPI: 1043190770
Provider Name (Legal Business Name): TZIPPY REICHMAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1945 CORLIES AVE
NEPTUNE NJ
07753-5197
US

IV. Provider business mailing address

1945 CORLIES AVE
NEPTUNE NJ
07753-5197
US

V. Phone/Fax

Practice location:
  • Phone: 929-481-4081
  • Fax:
Mailing address:
  • Phone: 929-481-4081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15385200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26NJ15385200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: