Vyacheslav Pastukh, APN
Nurse Practitioner, Gerontology in Vineland, New Jersey
1457968182- Practice location
- 1100 E Chestnut Ave, Vineland, NJ 08360-5002
- Phone
- 856-696-0108
- Fax
- —
- Last updated
- September 27, 2020
Vyacheslav Pastukh is a Nurse Practitioner, Gerontology based in Vineland, NJ. Vyacheslav Pastukh practices in Vineland, NJ and has the professional credentials of APN. The NPI Number for Vyacheslav Pastukh is 1457968182 and holds a License No. 26NJ01055900 (NJ). The current practice location address for Vyacheslav Pastukh is 1100 E Chestnut Ave, Vineland, NJ 08360-5002 and can be reached out via phone at 856-696-0108.
Provider Profile Details
- NPI Number
- 1457968182
- Provider Name
- Vyacheslav Pastukh
- Credential
- APN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1100 E Chestnut Ave, Vineland, NJ 08360-5002
- Phone Number
- 856-696-0108
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 27, 2020
- Last Update Date
- September 27, 2020
- Certification Date
- September 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1100 E Chestnut Ave
Vineland, NJ 08360-5002 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-5002
- Phone Number
- 856-696-0108
Provider Business Mailing Address Details
- Address
- 1882 Wynnewood Dr
Vineland, NJ 08361-6771 - City
- Vineland
- State
- NJ
- Zip
- 08361-6771
- Phone Number
- 856-777-3968
License Information
- License Number
- 26NJ01055900
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Vyacheslav Pastukh, APN?
The NPI number of Vyacheslav Pastukh, APN is 1457968182. It was assigned on September 27, 2020 and is currently active in the NPPES registry.
What is the specialty of Vyacheslav Pastukh, APN?
Vyacheslav Pastukh, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ01055900.
Where does Vyacheslav Pastukh, APN practice?
The practice location is 1100 E Chestnut Ave, Vineland, NJ 08360-5002. The office can be reached at 856-696-0108 (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 1457968182 directly on the NPPES registry website.