Active NPIIndividual providerSole proprietor

Nicole Rengifo

Nurse Practitioner, Adult Health in Teaneck, New Jersey

NPI Number1104366699
Practice location
718 Teaneck RD, Teaneck, NJ 07666-4245
Fax
—
Last updated
March 2, 2017

Nicole Rengifo is a Nurse Practitioner, Adult Health based in Teaneck, NJ. Nicole Rengifo practices in Teaneck, NJ. The NPI Number for Nicole Rengifo is 1104366699 and holds a License No. 26NJ00714000 (NJ). The current practice location address for Nicole Rengifo is 718 Teaneck RD, Teaneck, NJ 07666-4245 and can be reached out via phone at 201-833-3000.

Provider Profile Details

NPI Number
1104366699
Provider Name
Nicole Rengifo
Provider Entity Type
Individual
Gender
Female
Address
718 Teaneck RD, Teaneck, NJ 07666-4245
Phone Number
201-833-3000
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
March 2, 2017
Last Update Date
March 2, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
718 Teaneck RD
Teaneck, NJ 07666-4245
Zip
07666-4245
Phone Number
201-833-3000
Teaneck, NJ 07666Get directions →

Provider Business Mailing Address Details

Address
227 E 3RD Ave
Roselle, NJ 07203-1333
City
Roselle
State
NJ
Zip
07203-1333

License Information

License Number (1)
26NJ00714000
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X · Primary
License Number (2)
26NJ00714000
License State (2)
NJ
Taxonomy (2)
Clinical Nurse Specialist, Gerontology · 364SG0600X

Legacy Identifiers

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

Other Nurse Practitioner, Adult Health providers near Teaneck, NJ

View all Nurse Practitioner, Adult Health providers in Teaneck →

Frequently Asked Questions

What is the NPI number of Nicole Rengifo?

The NPI number of Nicole Rengifo is 1104366699. It was assigned on March 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Nicole Rengifo?

Nicole Rengifo is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00714000.

Where does Nicole Rengifo practice?

The practice location is 718 Teaneck RD, Teaneck, NJ 07666-4245. The office can be reached at 201-833-3000 (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 1104366699 directly on the NPPES registry website.

Browse related providers