Healthcare Provider Details

I. General information

NPI: 1871902650
Provider Name (Legal Business Name): IRIQUE ROBINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2014
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 WALTER HAMMOND PL
WALDWICK NJ
07463-1725
US

IV. Provider business mailing address

32 WALTER HAMMOND PL
WALDWICK NJ
07463-1725
US

V. Phone/Fax

Practice location:
  • Phone: 201-995-4649
  • Fax:
Mailing address:
  • Phone: 201-995-4649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number26NR12548900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: