Active NPIIndividual provider

Elyse Fearon

Nurse Practitioner, Gerontology in Bloomfield, New Jersey

NPI Number1720896491
Practice location
382 W Passaic Ave, Bloomfield, NJ 07003-5554
Fax
—
Last updated
December 26, 2024

Elyse Fearon is a Nurse Practitioner, Gerontology based in Bloomfield, NJ. Elyse Fearon practices in Bloomfield, NJ. The NPI Number for Elyse Fearon is 1720896491 and holds a License No. 26NJ15226200 (NJ). The current practice location address for Elyse Fearon is 382 W Passaic Ave, Bloomfield, NJ 07003-5554 and can be reached out via phone at 973-338-1900.

Provider Profile Details

NPI Number
1720896491
Provider Name
Elyse Fearon
Provider Entity Type
Individual
Gender
Female
Address
382 W Passaic Ave, Bloomfield, NJ 07003-5554
Phone Number
973-338-1900
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Provider Enumeration Date
December 26, 2024
Last Update Date
December 26, 2024
Certification Date
December 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
382 W Passaic Ave
Bloomfield, NJ 07003-5554
Zip
07003-5554
Phone Number
973-338-1900
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
87 Union St
Cedar Grove, NJ 07009-1925
City
Cedar Grove
State
NJ
Zip
07009-1925
Phone Number
973-908-5563

License Information

License Number (1)
26NJ15226200
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Primary Care · 363LP2300X
License Number (2)
26NJ15226200
License State (2)
NJ
Taxonomy (2)
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 Elyse Fearon?

The NPI number of Elyse Fearon is 1720896491. It was assigned on December 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Elyse Fearon?

Elyse Fearon is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ15226200.

Where does Elyse Fearon practice?

The practice location is 382 W Passaic Ave, Bloomfield, NJ 07003-5554. The office can be reached at 973-338-1900 (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 1720896491 directly on the NPPES registry website.

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