Healthcare Provider Details

I. General information

NPI: 1356164073
Provider Name (Legal Business Name): MARIANA CROVADOR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2024
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 NJ-37 ARTHRITIS & OSTEOPOROSIS ASSOCIATES SUITE A2
TOMS RIVER NJ
08755
US

IV. Provider business mailing address

150 NJ-37 ARTHRITIS & OSTEOPOROSIS ASSOCIATES SUITE A2
TOMS RIVER NJ
08755
US

V. Phone/Fax

Practice location:
  • Phone: 844-262-4968
  • Fax: 732-383-8149
Mailing address:
  • Phone: 844-262-4968
  • Fax: 732-383-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number26NJ15156400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: