Healthcare Provider Details

I. General information

NPI: 1922455088
Provider Name (Legal Business Name): DR. STEFFNE KUNNIRICKAL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 11/06/2026
Certification Date: 11/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE STE 720N
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

4 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3619
US

V. Phone/Fax

Practice location:
  • Phone: 201-251-3243
  • Fax:
Mailing address:
  • Phone: 201-447-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number25MA11894900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: