Healthcare Provider Details

I. General information

NPI: 1497692545
Provider Name (Legal Business Name): DENEE DANIA THOMAS MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BERGEN ST
NEWARK NJ
07103-2425
US

IV. Provider business mailing address

140 BERGEN ST
NEWARK NJ
07103-2425
US

V. Phone/Fax

Practice location:
  • Phone: 973-561-7685
  • Fax: 973-972-3102
Mailing address:
  • Phone: 973-561-7685
  • Fax: 973-972-3102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number26NR22706300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: