Active NPIIndividual provider

Tatiana Dea, APN

Nurse Practitioner, Family in Bloomfield, New Jersey

NPI Number1194354126
Practice location
1255 Broad St, Bloomfield, NJ 07003-3000
Fax
—
Last updated
April 2, 2020

Tatiana Dea is a Nurse Practitioner, Family based in Bloomfield, NJ. Tatiana Dea practices in Bloomfield, NJ and has the professional credentials of APN. The NPI Number for Tatiana Dea is 1194354126 and holds a License No. 26NJ00957700 (NJ). The current practice location address for Tatiana Dea is 1255 Broad St, Bloomfield, NJ 07003-3000 and can be reached out via phone at 201-833-9500.

Provider Profile Details

NPI Number
1194354126
Provider Name
Tatiana Dea
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1255 Broad St, Bloomfield, NJ 07003-3000
Phone Number
201-833-9500
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2020
Last Update Date
April 2, 2020
Certification Date
April 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1255 Broad St
Bloomfield, NJ 07003-3000
Zip
07003-3000
Phone Number
201-833-9500
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
310 Copperfield Ln
Metuchen, NJ 08840-1240
City
Metuchen
State
NJ
Zip
08840-1240
Phone Number
240-645-3252

License Information

License Number
26NJ00957700
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 Tatiana Dea, APN?

The NPI number of Tatiana Dea, APN is 1194354126. It was assigned on April 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Tatiana Dea, APN?

Tatiana Dea, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00957700.

Where does Tatiana Dea, APN practice?

The practice location is 1255 Broad St, Bloomfield, NJ 07003-3000. The office can be reached at 201-833-9500 (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 1194354126 directly on the NPPES registry website.

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