Active NPIIndividual provider

Dr. Michelle L Iacaruso, DO

Family Medicine in Bernardsville, New Jersey

NPI Number1083673784
Practice location
39 Olcott Sq, Bernardsville, NJ 07924-2317
Fax
908-221-1005
Last updated
March 19, 2008

Michelle L. Iacaruso is a Family Medicine based in Bernardsville, NJ. Michelle L. Iacaruso practices in Bernardsville, NJ and has the professional credentials of DO. The NPI Number for Michelle L. Iacaruso is 1083673784 and holds a License No. 25MB08365400 (NJ). The current practice location address for Michelle L. Iacaruso is 39 Olcott Sq, Bernardsville, NJ 07924-2317 and can be reached out via phone at 908-221-1919 and via fax at 908-221-1005.

Provider Profile Details

NPI Number
1083673784
Provider Name
Michelle L. Iacaruso
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
39 Olcott Sq, Bernardsville, NJ 07924-2317
Phone Number
908-221-1919
Fax Number
908-221-1005
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 21, 2006
Last Update Date
March 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Olcott Sq
Bernardsville, NJ 07924-2317
Zip
07924-2317
Phone Number
908-221-1919
Fax Number
908-221-1005
Bernardsville, NJ 07924Get directions →

Provider Business Mailing Address Details

Address
39 Olcott Sq
Bernardsville, NJ 07924-2317
City
Bernardsville
State
NJ
Zip
07924-2317
Phone Number
908-221-1919
Fax Number
908-221-1005

License Information

License Number (1)
25MB08365400
License State (1)
NJ
Taxonomy (1)
Family Medicine · 207Q00000X · Primary
License Number (2)
OS009282L
License State (2)
PA
Taxonomy (2)
Family Medicine · 207Q00000X

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 Dr. Michelle L Iacaruso, DO?

The NPI number of Dr. Michelle L Iacaruso, DO is 1083673784. It was assigned on March 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michelle L Iacaruso, DO?

Dr. Michelle L Iacaruso, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB08365400.

Where does Dr. Michelle L Iacaruso, DO practice?

The practice location is 39 Olcott Sq, Bernardsville, NJ 07924-2317. The office can be reached at 908-221-1919 (phone) or 908-221-1005 (fax).

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 1083673784 directly on the NPPES registry website.

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