Active NPIIndividual provider

Nana Yenukashvili

Pediatrics in Cliffside Park, New Jersey

NPI Number1447460712
Practice location
300 Winston Dr Apt 2911, Cliffside Park, NJ 07010-3232
Fax
—
Last updated
July 8, 2007

Nana Yenukashvili is a Pediatrics based in Cliffside Park, NJ. Nana Yenukashvili practices in Cliffside Park, NJ. The NPI Number for Nana Yenukashvili is 1447460712 and holds a License No. 25MA08225400 (NJ). The current practice location address for Nana Yenukashvili is 300 Winston Dr Apt 2911, Cliffside Park, NJ 07010-3232 and can be reached out via phone at 201-224-5755.

Provider Profile Details

NPI Number
1447460712
Provider Name
Nana Yenukashvili
Provider Entity Type
Individual
Gender
Female
Address
300 Winston Dr Apt 2911, Cliffside Park, NJ 07010-3232
Phone Number
201-224-5755
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Winston Dr Apt 2911
Cliffside Park, NJ 07010-3232
Zip
07010-3232
Phone Number
201-224-5755
Cliffside Park, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
300 Winston Dr Apt 2911
Cliffside Park, NJ 07010-3232
City
Cliffside Park
State
NJ
Zip
07010-3232
Phone Number
201-224-5755

License Information

License Number
25MA08225400
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 Nana Yenukashvili?

The NPI number of Nana Yenukashvili is 1447460712. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Nana Yenukashvili?

Nana Yenukashvili is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA08225400.

Where does Nana Yenukashvili practice?

The practice location is 300 Winston Dr Apt 2911, Cliffside Park, NJ 07010-3232. The office can be reached at 201-224-5755 (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 1447460712 directly on the NPPES registry website.

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