Active NPIIndividual providerSole proprietor

Miss Zhanna Radevich

Early Intervention Provider Agency in Bogota, New Jersey

NPI Number1528592367
Practice location
172 Palisade Ave, Bogota, NJ 07603
Fax
—
Last updated
April 19, 2017

Zhanna Radevich is an Early Intervention Provider Agency based in Bogota, NJ. Zhanna Radevich practices in Bogota, NJ. The NPI Number for Zhanna Radevich is 1528592367. The current practice location address for Zhanna Radevich is 172 Palisade Ave, Bogota, NJ 07603 and can be reached out via phone at 201-880-5188.

Provider Profile Details

NPI Number
1528592367
Provider Name
Zhanna Radevich
Provider Entity Type
Individual
Gender
Female
Address
172 Palisade Ave, Bogota, NJ 07603
Phone Number
201-880-5188
Primary Taxonomy
Early Intervention Provider Agency · 252Y00000X
Sole Proprietor
Yes
Other Names
Miss Zhanna Radevich (Professional Name)
Provider Enumeration Date
April 19, 2017
Last Update Date
April 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
172 Palisade Ave
Bogota, NJ 07603
City
Bogota
Zip
07603
Phone Number
201-880-5188
Bogota, NJ 07603Get directions →

Provider Business Mailing Address Details

Address
172 Palisade Ave
Bogota, NJ 07603-1634
City
Bogota
State
NJ
Zip
07603-1634
Phone Number
201-820-4365
Fax Number
201-820-4365

License Information

License State
NY
Taxonomy
Early Intervention Provider Agency · 252Y00000X · 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 Miss Zhanna Radevich?

The NPI number of Miss Zhanna Radevich is 1528592367. It was assigned on April 19, 2017 and is currently active in the NPPES registry.

What is the specialty of Miss Zhanna Radevich?

Miss Zhanna Radevich is registered under the primary taxonomy Early Intervention Provider Agency (code 252Y00000X).

Where does Miss Zhanna Radevich practice?

The practice location is 172 Palisade Ave, Bogota, NJ 07603. The office can be reached at 201-880-5188 (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 1528592367 directly on the NPPES registry website.

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