Active NPIIndividual provider

Lynnette Jarvis, OTA

Community Health Worker in Cliffside Pk, New Jersey

NPI Number1881824761
Practice location
200 Winston Dr Apt 718, Cliffside Pk, NJ 07010-3214
Fax
718-233-9688
Last updated
July 24, 2009

Lynnette Jarvis is a Community Health Worker based in Cliffside Pk, NJ. Lynnette Jarvis practices in Cliffside Pk, NJ and has the professional credentials of OTA. The NPI Number for Lynnette Jarvis is 1881824761 and holds a License No. 004683 (NY). The current practice location address for Lynnette Jarvis is 200 Winston Dr Apt 718, Cliffside Pk, NJ 07010-3214 and can be reached out via phone at 201-888-0573 and via fax at 718-233-9688.

Provider Profile Details

NPI Number
1881824761
Provider Name
Lynnette Jarvis
Credential
OTA
Provider Entity Type
Individual
Gender
Female
Address
200 Winston Dr Apt 718, Cliffside Pk, NJ 07010-3214
Phone Number
201-888-0573
Fax Number
718-233-9688
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
July 24, 2009
Last Update Date
July 24, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Winston Dr Apt 718
Cliffside Pk, NJ 07010-3214
Zip
07010-3214
Phone Number
201-888-0573
Fax Number
718-233-9688
Cliffside Pk, NJ 07010Get directions →

Provider Business Mailing Address Details

Address
200 Winston Dr Apt 718
Cliffside Pk, NJ 07010-3214
City
Cliffside Pk
State
NJ
Zip
07010-3214

License Information

License Number
004683
License State
NY
Taxonomy
Community Health Worker · 172V00000X · 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 Lynnette Jarvis, OTA?

The NPI number of Lynnette Jarvis, OTA is 1881824761. It was assigned on July 24, 2009 and is currently active in the NPPES registry.

What is the specialty of Lynnette Jarvis, OTA?

Lynnette Jarvis, OTA is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in NY under license number 004683.

Where does Lynnette Jarvis, OTA practice?

The practice location is 200 Winston Dr Apt 718, Cliffside Pk, NJ 07010-3214. The office can be reached at 201-888-0573 (phone) or 718-233-9688 (fax).

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 1881824761 directly on the NPPES registry website.

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