Nicole Rengifo
Nurse Practitioner, Adult Health in Teaneck, New Jersey
1104366699- Practice location
- 718 Teaneck RD, Teaneck, NJ 07666-4245
- Phone
- 201-833-3000
- 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 - City
- Teaneck
- State
- New Jersey
- Zip
- 07666-4245
- Phone Number
- 201-833-3000
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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.