Healthcare Provider Details

I. General information

NPI: 1932003639
Provider Name (Legal Business Name): CARA RADINO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 BRIDGE AVE APT 19
POINT PLEASANT BORO NJ
08742-2732
US

IV. Provider business mailing address

3401 BRIDGE AVE APT 19
POINT PLEASANT BORO NJ
08742-2732
US

V. Phone/Fax

Practice location:
  • Phone: 973-271-9370
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ15670500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: