Active NPIIndividual providerSole proprietor

Marilyn Soberano IV, HEMODIALYSIS RN

Registered Nurse, Hemodialysis in Randolph, New Jersey

NPI Number1215334347
Practice location
2105 Barclay CT, Randolph, NJ 07869-1270
Fax
973-927-1873
Last updated
December 8, 2014

Marilyn Soberano is a Registered Nurse, Hemodialysis based in Randolph, NJ. Marilyn Soberano practices in Randolph, NJ and has the professional credentials of HEMODIALYSIS RN. The NPI Number for Marilyn Soberano is 1215334347 and holds a License No. 26NO10205000 (NJ). The current practice location address for Marilyn Soberano is 2105 Barclay CT, Randolph, NJ 07869-1270 and can be reached out via phone at 973-978-7351 and via fax at 973-927-1873.

Provider Profile Details

NPI Number
1215334347
Provider Name
Marilyn Soberano
Credential
HEMODIALYSIS RN
Provider Entity Type
Individual
Gender
Female
Address
2105 Barclay CT, Randolph, NJ 07869-1270
Phone Number
973-978-7351
Fax Number
973-927-1873
Primary Taxonomy
Registered Nurse, Hemodialysis · 163WH0500X
Sole Proprietor
Yes
Provider Enumeration Date
December 4, 2014
Last Update Date
December 8, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2105 Barclay CT
Randolph, NJ 07869-1270
Zip
07869-1270
Phone Number
973-978-7351
Fax Number
973-927-1873
Randolph, NJ 07869Get directions →

Provider Business Mailing Address Details

Address
Po Box 224
Dover, NJ 07802-0224
City
Dover
State
NJ
Zip
07802-0224
Phone Number
973-978-7351
Fax Number
973-927-1873

License Information

License Number
26NO10205000
License State
NJ
Taxonomy
Registered Nurse, Hemodialysis · 163WH0500X · 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 Marilyn Soberano IV, HEMODIALYSIS RN?

The NPI number of Marilyn Soberano IV, HEMODIALYSIS RN is 1215334347. It was assigned on December 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Marilyn Soberano IV, HEMODIALYSIS RN?

Marilyn Soberano IV, HEMODIALYSIS RN is registered under the primary taxonomy Registered Nurse, Hemodialysis (code 163WH0500X), licensed in NJ under license number 26NO10205000.

Where does Marilyn Soberano IV, HEMODIALYSIS RN practice?

The practice location is 2105 Barclay CT, Randolph, NJ 07869-1270. The office can be reached at 973-978-7351 (phone) or 973-927-1873 (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 1215334347 directly on the NPPES registry website.

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