Active NPIIndividual providerSole proprietor

Marcel Kaganovskaya, DNP

Nurse Practitioner, Psych/Mental Health in Ridgefield Park, New Jersey

NPI Number1417301094
Practice location
131 Overpeck Ave, Ridgefield Park, NJ 07660-1855
Fax
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Last updated
May 5, 2024

Marcel Kaganovskaya is a Nurse Practitioner, Psych/Mental Health based in Ridgefield Park, NJ. Marcel Kaganovskaya practices in Ridgefield Park, NJ and has the professional credentials of DNP. The NPI Number for Marcel Kaganovskaya is 1417301094 and holds a License No. 340371 (NY). The current practice location address for Marcel Kaganovskaya is 131 Overpeck Ave, Ridgefield Park, NJ 07660-1855 and can be reached out via phone at 201-667-2197.

Provider Profile Details

NPI Number
1417301094
Provider Name
Marcel Kaganovskaya
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
131 Overpeck Ave, Ridgefield Park, NJ 07660-1855
Phone Number
201-667-2197
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
April 20, 2016
Last Update Date
May 5, 2024
Certification Date
May 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Overpeck Ave
Ridgefield Park, NJ 07660-1855
Zip
07660-1855
Phone Number
201-667-2197
Ridgefield Park, NJ 07660Get directions →

Provider Business Mailing Address Details

Address
130 W Kingsbridge RD
Bronx, NY 10468-3904
City
Bronx
State
NY
Zip
10468-3904
Phone Number
570-540-2590

License Information

License Number (1)
340371
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
F404375
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
26NJ01158200
License State (3)
NJ
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Marcel Kaganovskaya, DNP?

The NPI number of Marcel Kaganovskaya, DNP is 1417301094. It was assigned on April 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Marcel Kaganovskaya, DNP?

Marcel Kaganovskaya, DNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 340371.

Where does Marcel Kaganovskaya, DNP practice?

The practice location is 131 Overpeck Ave, Ridgefield Park, NJ 07660-1855. The office can be reached at 201-667-2197 (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 1417301094 directly on the NPPES registry website.

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