Healthcare Provider Details

I. General information

NPI: 1811821671
Provider Name (Legal Business Name): SIGMUND KARL-HEINZ POHAN II CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

584 CLARENDON CT
RIVER EDGE NJ
07661-2136
US

IV. Provider business mailing address

584 CLARENDON CT
RIVER EDGE NJ
07661-2136
US

V. Phone/Fax

Practice location:
  • Phone: 201-957-6710
  • Fax:
Mailing address:
  • Phone: 201-957-6710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN772571
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR22885700
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number824936-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: