Active NPIIndividual provider

Mitalben P Thaliath, APN

Nurse Practitioner, Family in Cedar Grove, New Jersey

NPI Number1588288914
Practice location
387 Pompton Ave, Cedar Grove, NJ 07009-1801
Fax
—
Last updated
September 17, 2020

Mitalben P. Thaliath is a Nurse Practitioner, Family based in Cedar Grove, NJ. Mitalben P. Thaliath practices in Cedar Grove, NJ and has the professional credentials of APN. The NPI Number for Mitalben P. Thaliath is 1588288914 and holds a License No. 26NJ00782700 (NJ). The current practice location address for Mitalben P. Thaliath is 387 Pompton Ave, Cedar Grove, NJ 07009-1801 and can be reached out via phone at 973-857-2550.

Provider Profile Details

NPI Number
1588288914
Provider Name
Mitalben P. Thaliath
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
387 Pompton Ave, Cedar Grove, NJ 07009-1801
Phone Number
973-857-2550
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2020
Last Update Date
September 17, 2020
Certification Date
September 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
387 Pompton Ave
Cedar Grove, NJ 07009-1801
Zip
07009-1801
Phone Number
973-857-2550
Cedar Grove, NJ 07009Get directions →

Provider Business Mailing Address Details

Address
387 Pompton Ave
Cedar Grove, NJ 07009-1801
City
Cedar Grove
State
NJ
Zip
07009-1801
Phone Number
973-857-2550

License Information

License Number
26NJ00782700
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Mitalben P Thaliath, APN?

The NPI number of Mitalben P Thaliath, APN is 1588288914. It was assigned on June 1, 2020 and is currently active in the NPPES registry.

What is the specialty of Mitalben P Thaliath, APN?

Mitalben P Thaliath, APN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00782700.

Where does Mitalben P Thaliath, APN practice?

The practice location is 387 Pompton Ave, Cedar Grove, NJ 07009-1801. The office can be reached at 973-857-2550 (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 1588288914 directly on the NPPES registry website.

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