Healthcare Provider Details

I. General information

NPI: 1922929058
Provider Name (Legal Business Name): CLAUDIA ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 SKYLINE LAKE DR
RINGWOOD NJ
07456-1917
US

IV. Provider business mailing address

22 SKYLINE LAKE DR
RINGWOOD NJ
07456-1917
US

V. Phone/Fax

Practice location:
  • Phone: 973-590-1561
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number26NR23717700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: