Active NPIIndividual providerSole proprietor

Benjamin Quidangen

Nurse Practitioner, Family in Bloomfield, New Jersey

NPI Number1740727791
Practice location
12 Lewis St, Bloomfield, NJ 07003-6017
Fax
—
Last updated
January 30, 2017

Benjamin Quidangen is a Nurse Practitioner, Family based in Bloomfield, NJ. Benjamin Quidangen practices in Bloomfield, NJ. The NPI Number for Benjamin Quidangen is 1740727791 and holds a License No. 340063 (NY). The current practice location address for Benjamin Quidangen is 12 Lewis St, Bloomfield, NJ 07003-6017 and can be reached out via phone at 201-957-4114.

Provider Profile Details

NPI Number
1740727791
Provider Name
Benjamin Quidangen
Provider Entity Type
Individual
Gender
Male
Address
12 Lewis St, Bloomfield, NJ 07003-6017
Phone Number
201-957-4114
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2017
Last Update Date
January 30, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Lewis St
Bloomfield, NJ 07003-6017
Zip
07003-6017
Phone Number
201-957-4114
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
12 Lewis St
Bloomfield, NJ 07003-6017
City
Bloomfield
State
NJ
Zip
07003-6017
Phone Number
201-957-4114

License Information

License Number
340063
License State
NY
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 Benjamin Quidangen?

The NPI number of Benjamin Quidangen is 1740727791. It was assigned on January 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Benjamin Quidangen?

Benjamin Quidangen is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 340063.

Where does Benjamin Quidangen practice?

The practice location is 12 Lewis St, Bloomfield, NJ 07003-6017. The office can be reached at 201-957-4114 (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 1740727791 directly on the NPPES registry website.

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