MEDICARE: RONICA MUKERJEE NP

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	363LF0000X	Family Nurse Practitioner	335526	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942469614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONICA MUKERJEE NP

Provider Business Mailing Address
First Line	:	991 BLAKE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-3503
Country	:	US
Telephone Number	:	646-785-7452
Fax Number	:	646-491-7441

Provider Business Practice Location Address
First Line	:	2185 CLARENDON RD STE 100
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-6110
Country	:	US
Telephone Number	:	646-785-7452
Fax Number	:	718-523-5833

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

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	07/12/2025

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