Active NPIIndividual provider

Mr. Mark G Havlicek, APN

Nurse Practitioner in Oakland, New Jersey

NPI Number1033708052
Practice location
43 Yawpo Ave, Oakland, NJ 07436-2714
Fax
—
Last updated
January 14, 2021

Mark Gerard Havlicek is a Nurse Practitioner based in Oakland, NJ. Mark Gerard Havlicek practices in Oakland, NJ and has the professional credentials of APN. The NPI Number for Mark Gerard Havlicek is 1033708052 and holds a License No. 26NJ01014700 (NJ). The current practice location address for Mark Gerard Havlicek is 43 Yawpo Ave, Oakland, NJ 07436-2714 and can be reached out via phone at 201-337-0066.

Provider Profile Details

NPI Number
1033708052
Provider Name
Mark Gerard Havlicek
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
43 Yawpo Ave, Oakland, NJ 07436-2714
Phone Number
201-337-0066
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
January 14, 2021
Last Update Date
January 14, 2021
Certification Date
January 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Yawpo Ave
Oakland, NJ 07436-2714
Zip
07436-2714
Phone Number
201-337-0066
Oakland, NJ 07436Get directions →

Provider Business Mailing Address Details

Address
27 Skytop Rdg
Oakland, NJ 07436-2355
City
Oakland
State
NJ
Zip
07436-2355
Phone Number
201-663-1988

License Information

License Number
26NJ01014700
License State
NJ
Taxonomy
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark G Havlicek, APN?

The NPI number of Mr. Mark G Havlicek, APN is 1033708052. It was assigned on January 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark G Havlicek, APN?

Mr. Mark G Havlicek, APN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ01014700.

Where does Mr. Mark G Havlicek, APN practice?

The practice location is 43 Yawpo Ave, Oakland, NJ 07436-2714. The office can be reached at 201-337-0066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033708052 directly on the NPPES registry website.

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