Active NPIIndividual provider

Nerissa Malabanan, MD

Pediatrics in Bayonne, New Jersey

NPI Number1255428124
Practice location
1222 Kennedy Blvd, Bayonne, NJ 07002-9211
Fax
201-437-9661
Last updated
February 24, 2012

Nerissa Malabanan is a Pediatrics based in Bayonne, NJ. Nerissa Malabanan practices in Bayonne, NJ and has the professional credentials of MD. The NPI Number for Nerissa Malabanan is 1255428124 and holds a License No. 25MA06095100 (NJ). The current practice location address for Nerissa Malabanan is 1222 Kennedy Blvd, Bayonne, NJ 07002-9211 and can be reached out via phone at 201-319-9800 and via fax at 201-437-9661.

Provider Profile Details

NPI Number
1255428124
Provider Name
Nerissa Malabanan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1222 Kennedy Blvd, Bayonne, NJ 07002-9211
Phone Number
201-319-9800
Fax Number
201-437-9661
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2006
Last Update Date
February 24, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1222 Kennedy Blvd
Bayonne, NJ 07002-9211
Zip
07002-9211
Phone Number
201-319-9800
Fax Number
201-437-9661
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
3196 Kennedy Blvd
Suite 2
Union City, NJ 07087-2436
City
Union City
State
NJ
Zip
07087-2436
Phone Number
201-319-9800
Fax Number
201-437-9661

License Information

License Number
25MA06095100
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Nerissa Malabanan, MD?

The NPI number of Nerissa Malabanan, MD is 1255428124. It was assigned on October 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Nerissa Malabanan, MD?

Nerissa Malabanan, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA06095100.

Where does Nerissa Malabanan, MD practice?

The practice location is 1222 Kennedy Blvd, Bayonne, NJ 07002-9211. The office can be reached at 201-319-9800 (phone) or 201-437-9661 (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 1255428124 directly on the NPPES registry website.

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