Healthcare Provider Details

I. General information

NPI: 1245782713
Provider Name (Legal Business Name): LYNDSAY BUEHLER APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2016
Last Update Date: 03/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 OLD HOOK RD SUITE 200
WESTWOOD NJ
07675-3123
US

IV. Provider business mailing address

381 PARK STREET SUITE 200
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 201-546-8510
  • Fax: 201-503-8142
Mailing address:
  • Phone: 201-546-8510
  • Fax: 201-957-7316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00675100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: