Active NPIIndividual providerSole proprietor

Nichole Larysz

Nurse Practitioner, Family in Fair Lawn, New Jersey

NPI Number1063278992
Practice location
5-15 Hartley Pl, Fair Lawn, NJ 07410-3023
Fax
—
Last updated
February 27, 2024

Nichole Larysz is a Nurse Practitioner, Family based in Fair Lawn, NJ. Nichole Larysz practices in Fair Lawn, NJ. The NPI Number for Nichole Larysz is 1063278992 and holds a License No. 26NJ15010800 (NJ). The current practice location address for Nichole Larysz is 5-15 Hartley Pl, Fair Lawn, NJ 07410-3023 and can be reached out via phone at 551-795-6223.

Provider Profile Details

NPI Number
1063278992
Provider Name
Nichole Larysz
Provider Entity Type
Individual
Gender
Female
Address
5-15 Hartley Pl, Fair Lawn, NJ 07410-3023
Phone Number
551-795-6223
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
February 27, 2024
Last Update Date
February 27, 2024
Certification Date
February 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
5-15 Hartley Pl
Fair Lawn, NJ 07410-3023
Zip
07410-3023
Phone Number
551-795-6223
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
5-15 Hartley Pl
Fair Lawn, NJ 07410-3023
City
Fair Lawn
State
NJ
Zip
07410-3023

License Information

License Number
26NJ15010800
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Nichole Larysz?

The NPI number of Nichole Larysz is 1063278992. It was assigned on February 27, 2024 and is currently active in the NPPES registry.

What is the specialty of Nichole Larysz?

Nichole Larysz is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15010800.

Where does Nichole Larysz practice?

The practice location is 5-15 Hartley Pl, Fair Lawn, NJ 07410-3023. The office can be reached at 551-795-6223 (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 1063278992 directly on the NPPES registry website.

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