Active NPIIndividual providerSole proprietor

Dyneise Tucker

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newark, New Jersey

NPI Number1427683465
Practice location
87 2ND St Apt 2, Newark, NJ 07107-3103
Fax
—
Last updated
March 10, 2020

Dyneise Tucker is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities based in Newark, NJ. Dyneise Tucker practices in Newark, NJ. The NPI Number for Dyneise Tucker is 1427683465. The current practice location address for Dyneise Tucker is 87 2ND St Apt 2, Newark, NJ 07107-3103 and can be reached out via phone at 862-944-8037.

Provider Profile Details

NPI Number
1427683465
Provider Name
Dyneise Tucker
Provider Entity Type
Individual
Gender
Female
Address
87 2ND St Apt 2, Newark, NJ 07107-3103
Phone Number
862-944-8037
Sole Proprietor
Yes
Provider Enumeration Date
March 10, 2020
Last Update Date
March 10, 2020
Certification Date
March 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
87 2ND St Apt 2
Newark, NJ 07107-3103
City
Newark
Zip
07107-3103
Phone Number
862-944-8037
Newark, NJ 07107Get directions →

Provider Business Mailing Address Details

Address
87 2ND St Apt 2
Newark, NJ 07107-3103
City
Newark
State
NJ
Zip
07107-3103
Phone Number
862-944-8037

License Information

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 Dyneise Tucker?

The NPI number of Dyneise Tucker is 1427683465. It was assigned on March 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Dyneise Tucker?

Dyneise Tucker is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X).

Where does Dyneise Tucker practice?

The practice location is 87 2ND St Apt 2, Newark, NJ 07107-3103. The office can be reached at 862-944-8037 (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 1427683465 directly on the NPPES registry website.

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