Healthcare Provider Details

I. General information

NPI: 1750218277
Provider Name (Legal Business Name): TANYA DURR-PULYADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 PEMBERTON AVE
PLAINFIELD NJ
07060-2857
US

IV. Provider business mailing address

429 PEMBERTON AVE
PLAINFIELD NJ
07060-2857
US

V. Phone/Fax

Practice location:
  • Phone: 908-414-0574
  • Fax: 973-622-5820
Mailing address:
  • Phone: 908-414-0574
  • Fax: 973-622-5820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: