Healthcare Provider Details

I. General information

NPI: 1013479484
Provider Name (Legal Business Name): NPHEALTHCARE ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 04/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 CHESTNUT ST STE 203
ROSELLE NJ
07203-1280
US

IV. Provider business mailing address

1302 DANCHETZ CT
RAHWAY NJ
07065-5090
US

V. Phone/Fax

Practice location:
  • Phone: 908-884-9074
  • Fax:
Mailing address:
  • Phone: 908-884-9074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MONICA DENISE RICHARDSON
Title or Position: FAMILY NURSE PRACTITIONER
Credential: NP
Phone: 908-884-9074