MEDICARE: MARTINE DANIELE NDENG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1033060983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTINE DANIELE NDENG

Provider Business Mailing Address
First Line	:	9 N WASHINGTON VALLEY RD
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3133
Country	:	US
Telephone Number	:	929-385-5677
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 N WASHINGTON VALLEY RD
Second Line	:
City	:	LONG VALLEY
State	:	NJ
Zip	:	07853-3133
Country	:	US
Telephone Number	:	929-385-5677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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Directions to “ MARTINE DANIELE NDENG ” Practice Location

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