Healthcare Provider Details

I. General information

NPI: 1700712460
Provider Name (Legal Business Name): SIMONE KAYKAY APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 E RTE 4 STE 401
PARAMUS NJ
07652-2667
US

IV. Provider business mailing address

81 E RTE 4 STE 401
PARAMUS NJ
07652-2667
US

V. Phone/Fax

Practice location:
  • Phone: 201-646-1121
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15433000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: