Dr. Johanna Henriquez, DO
Internal Medicine in Lyndhurst, New Jersey
1700047214- Practice location
- 1301 Wall St W, #4105, Lyndhurst, NJ 07071-3514
- Phone
- 201-214-3813
- Fax
- —
- Last updated
- October 5, 2021
Johanna Henriquez is an Internal Medicine based in Lyndhurst, NJ. Johanna Henriquez practices in Lyndhurst, NJ and has the professional credentials of DO. The NPI Number for Johanna Henriquez is 1700047214 and holds a License No. OS17767 (FL). The current practice location address for Johanna Henriquez is 1301 Wall St W, #4105, Lyndhurst, NJ 07071-3514 and can be reached out via phone at 201-214-3813.
Provider Profile Details
- NPI Number
- 1700047214
- Provider Name
- Johanna Henriquez
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1301 Wall St W, #4105, Lyndhurst, NJ 07071-3514
- Phone Number
- 201-214-3813
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 18, 2008
- Last Update Date
- October 5, 2021
- Certification Date
- October 5, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1301 Wall St W
#4105
Lyndhurst, NJ 07071-3514 - City
- Lyndhurst
- State
- New Jersey
- Zip
- 07071-3514
- Phone Number
- 201-214-3813
Provider Business Mailing Address Details
- Address
- 1301 Wall St W
#4105
Lyndhurst, NJ 07071-3514 - City
- Lyndhurst
- State
- NJ
- Zip
- 07071-3514
- Phone Number
- 201-214-3813
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- OS17767
- License State (2)
- FL
- Taxonomy (2)
- Internal Medicine · 207R00000X · 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 Dr. Johanna Henriquez, DO?
The NPI number of Dr. Johanna Henriquez, DO is 1700047214. It was assigned on June 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Johanna Henriquez, DO?
Dr. Johanna Henriquez, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in FL under license number OS17767.
Where does Dr. Johanna Henriquez, DO practice?
The practice location is 1301 Wall St W, #4105, Lyndhurst, NJ 07071-3514. The office can be reached at 201-214-3813 (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 1700047214 directly on the NPPES registry website.