Healthcare Provider Details

I. General information

NPI: 1487584272
Provider Name (Legal Business Name): LUZ GUEVARA DE STORTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
SADDLE BROOK NJ
07663-5309
US

IV. Provider business mailing address

7002 BOULEVARD E APT 3B
GUTTENBERG NJ
07093-4900
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6260
  • Fax:
Mailing address:
  • Phone: 201-275-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberNA8198570
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: