Healthcare Provider Details

I. General information

NPI: 1437064730
Provider Name (Legal Business Name): LACIA NATOYA NASH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 OLD FREEHOLD RD
TOMS RIVER NJ
08753-2775
US

IV. Provider business mailing address

87 BURCHARD AVE
EAST ORANGE NJ
07017-1605
US

V. Phone/Fax

Practice location:
  • Phone: 201-790-4436
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: