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General NPI Number Information
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NPI Number | 1700132669
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Entity Type | Individual
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Provider Name | MONIKA SCHULE REISENAUER MSN, APRN, NNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 140 E RIDGEWOOD AVE STE 480N
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City | PARAMUS
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State | NJ
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Zip | 07652-3917
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Country | US
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Telephone | 201-447-8151
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Fax | 201-857-0278
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Provider Business Mailing Address
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Address Line | 1 GUSTAVE L LEVY PL BOX 1153 (NICU)
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City | NEW YORK
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State | NY
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Zip | 10029-6500
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Country | US
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Telephone | 845-323-7887
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 605091
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LN0005X
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Taxonomy Name | Critical Care Neonatal Nurse Practitioner
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License Number | 350344
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 26NJ00857700
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License Number State | NJ
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