Active NPIIndividual providerSole proprietor

Mrs. Nicanora Trivino, MD

Clinic/Center in East Orange, New Jersey

NPI Number1184759482
Practice location
172 Halsted St, East Orange, NJ 07018-2663
Fax
973-678-6305
Last updated
July 8, 2007

Nicanora Trivino is a Clinic/Center based in East Orange, NJ. Nicanora Trivino practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Nicanora Trivino is 1184759482 and holds a License No. 25mao4586300 (NJ). The current practice location address for Nicanora Trivino is 172 Halsted St, East Orange, NJ 07018-2663 and can be reached out via phone at 973-678-3133 and via fax at 973-678-6305.

Provider Profile Details

NPI Number
1184759482
Provider Name
Nicanora Trivino
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
172 Halsted St, East Orange, NJ 07018-2663
Phone Number
973-678-3133
Fax Number
973-678-6305
Primary Taxonomy
Clinic/Center · 261Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
172 Halsted St
East Orange, NJ 07018-2663
Zip
07018-2663
Phone Number
973-678-3133
Fax Number
973-678-6305
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
172 Halsted St
East Orange, NJ 07018-2663
City
East Orange
State
NJ
Zip
07018-2663
Phone Number
973-678-3133
Fax Number
973-678-6305

License Information

License Number
25mao4586300
License State
NJ
Taxonomy
Clinic/Center · 261Q00000X · 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 Mrs. Nicanora Trivino, MD?

The NPI number of Mrs. Nicanora Trivino, MD is 1184759482. It was assigned on February 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Nicanora Trivino, MD?

Mrs. Nicanora Trivino, MD is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 25mao4586300.

Where does Mrs. Nicanora Trivino, MD practice?

The practice location is 172 Halsted St, East Orange, NJ 07018-2663. The office can be reached at 973-678-3133 (phone) or 973-678-6305 (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 1184759482 directly on the NPPES registry website.

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