Active NPIIndividual provider

Christina S Heo, AGNP-C

Nurse Practitioner, Adult Health in Lyndhurst, New Jersey

NPI Number1518569482
Practice location
125 Chubb Ave, Lyndhurst, NJ 07071-3504
Fax
—
Last updated
June 24, 2025

Christina Soon Heo is a Nurse Practitioner, Adult Health based in Lyndhurst, NJ. Christina Soon Heo practices in Lyndhurst, NJ and has the professional credentials of AGNP-C. The NPI Number for Christina Soon Heo is 1518569482 and holds a License No. 310075 (NY). The current practice location address for Christina Soon Heo is 125 Chubb Ave, Lyndhurst, NJ 07071-3504 and can be reached out via phone at 201-559-7600.

Provider Profile Details

NPI Number
1518569482
Provider Name
Christina Soon Heo
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
125 Chubb Ave, Lyndhurst, NJ 07071-3504
Phone Number
201-559-7600
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2020
Last Update Date
June 24, 2025
Certification Date
June 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Chubb Ave
Lyndhurst, NJ 07071-3504
Zip
07071-3504
Phone Number
201-559-7600
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
125 Chubb Ave
Lyndhurst, NJ 07071-3504
City
Lyndhurst
State
NJ
Zip
07071-3504

License Information

License Number (1)
310075
License State (1)
NY
Taxonomy (1)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (2)
26NJ14961700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · 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 Christina S Heo, AGNP-C?

The NPI number of Christina S Heo, AGNP-C is 1518569482. It was assigned on November 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Christina S Heo, AGNP-C?

Christina S Heo, AGNP-C is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NY under license number 310075.

Where does Christina S Heo, AGNP-C practice?

The practice location is 125 Chubb Ave, Lyndhurst, NJ 07071-3504. The office can be reached at 201-559-7600 (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 1518569482 directly on the NPPES registry website.

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