Healthcare Provider Details

I. General information

NPI: 1164256848
Provider Name (Legal Business Name): YOHANA BUCHHOLZ-LENZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
SADDLE BROOK NJ
07663-5318
US

IV. Provider business mailing address

75 PHILLIP DR
ROCKAWAY NJ
07866-3747
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6000
  • Fax: 201-368-6135
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ15097900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: