Healthcare Provider Details

I. General information

NPI: 1992072680
Provider Name (Legal Business Name): DEEPTI PRAJAPATI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2011
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E 38TH ST
NEW YORK NY
10016-2772
US

IV. Provider business mailing address

978 ORADELL AVE
ORADELL NJ
07649-1954
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-7400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336854-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14854700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: