Healthcare Provider Details

I. General information

NPI: 1508206178
Provider Name (Legal Business Name): BRIANNA MARIE TREMBLAY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA MARIE LEARY NP

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3619
US

IV. Provider business mailing address

15 ESSEX RD
PARAMUS NJ
07652-1451
US

V. Phone/Fax

Practice location:
  • Phone: 201-389-0535
  • Fax:
Mailing address:
  • Phone: 201-389-0535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00837000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: