Active NPIIndividual providerSole proprietor

Daniel M Serra, APN

Nurse Practitioner, Gerontology in Ridgewood, New Jersey

NPI Number1487333506
Practice location
223 N Van Dien Ave, Ridgewood, NJ 07450-2736
Fax
—
Last updated
July 17, 2023

Daniel Matthew Serra is a Nurse Practitioner, Gerontology based in Ridgewood, NJ. Daniel Matthew Serra practices in Ridgewood, NJ and has the professional credentials of APN. The NPI Number for Daniel Matthew Serra is 1487333506 and holds a License No. 26NJ01477800 (NJ). The current practice location address for Daniel Matthew Serra is 223 N Van Dien Ave, Ridgewood, NJ 07450-2736 and can be reached out via phone at 201-447-8000.

Provider Profile Details

NPI Number
1487333506
Provider Name
Daniel Matthew Serra
Credential
APN
Provider Entity Type
Individual
Gender
Male
Address
223 N Van Dien Ave, Ridgewood, NJ 07450-2736
Phone Number
201-447-8000
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2023
Last Update Date
July 17, 2023
Certification Date
July 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
223 N Van Dien Ave
Ridgewood, NJ 07450-2736
Zip
07450-2736
Phone Number
201-447-8000
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
535 E Ridgewood Ave Apt 8
Ridgewood, NJ 07450-3331
City
Ridgewood
State
NJ
Zip
07450-3331
Phone Number
201-377-8218

License Information

License Number
26NJ01477800
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · 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 Daniel M Serra, APN?

The NPI number of Daniel M Serra, APN is 1487333506. It was assigned on July 17, 2023 and is currently active in the NPPES registry.

What is the specialty of Daniel M Serra, APN?

Daniel M Serra, APN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ01477800.

Where does Daniel M Serra, APN practice?

The practice location is 223 N Van Dien Ave, Ridgewood, NJ 07450-2736. The office can be reached at 201-447-8000 (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 1487333506 directly on the NPPES registry website.

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