Healthcare Provider Details

I. General information

NPI: 1871338723
Provider Name (Legal Business Name): ROMY MARIA COTO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 RIVER RD
NORTH BERGEN NJ
07047-6217
US

IV. Provider business mailing address

7600 RIVER RD
NORTH BERGEN NJ
07047-6217
US

V. Phone/Fax

Practice location:
  • Phone: 551-419-1505
  • Fax: 201-854-5797
Mailing address:
  • Phone: 551-419-1505
  • Fax: 201-854-5797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15375200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: