Active NPIIndividual providerSole proprietor

Bernedette Dimbo

Licensed Practical Nurse in Bloomfield, New Jersey

NPI Number1902419039
Practice location
203 Watsessing Ave, Bloomfield, NJ 07003-5605
Fax
—
Last updated
August 28, 2020

Bernedette Dimbo is a Licensed Practical Nurse based in Bloomfield, NJ. Bernedette Dimbo practices in Bloomfield, NJ. The NPI Number for Bernedette Dimbo is 1902419039 and holds a License No. 335342 (NY). The current practice location address for Bernedette Dimbo is 203 Watsessing Ave, Bloomfield, NJ 07003-5605 and can be reached out via phone at 862-444-9002.

Provider Profile Details

NPI Number
1902419039
Provider Name
Bernedette Dimbo
Provider Entity Type
Individual
Gender
Female
Address
203 Watsessing Ave, Bloomfield, NJ 07003-5605
Phone Number
862-444-9002
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 28, 2020
Last Update Date
August 28, 2020
Certification Date
August 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Watsessing Ave
Bloomfield, NJ 07003-5605
Zip
07003-5605
Phone Number
862-444-9002
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
203 Watsessing Ave
Bloomfield, NJ 07003-5605
City
Bloomfield
State
NJ
Zip
07003-5605
Phone Number
862-444-9002

License Information

License Number
335342
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · 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 Bernedette Dimbo?

The NPI number of Bernedette Dimbo is 1902419039. It was assigned on August 28, 2020 and is currently active in the NPPES registry.

What is the specialty of Bernedette Dimbo?

Bernedette Dimbo is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 335342.

Where does Bernedette Dimbo practice?

The practice location is 203 Watsessing Ave, Bloomfield, NJ 07003-5605. The office can be reached at 862-444-9002 (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 1902419039 directly on the NPPES registry website.

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