=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679269476
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERIKA LAUREN NAJMI APN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2023
-----------------------------------------------------
Last Update Date | 04/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 757 US HIGHWAY 202/206 STE 104
-----------------------------------------------------
City | BRIDGEWATER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08807-1763
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-872-3111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 WOODSTOCK LN
-----------------------------------------------------
City | ANNANDALE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08801-3425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-872-3111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ01467900
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------