Active NPIIndividual providerSole proprietor

Salvatore J Degennaro, APRN

Nurse Practitioner, Gerontology in Lyndhurst, New Jersey

NPI Number1942027958
Practice location
612 Rutherford Ave # A, Lyndhurst, NJ 07071-1217
Fax
—
Last updated
December 17, 2024

Salvatore Joseph Degennaro is a Nurse Practitioner, Gerontology based in Lyndhurst, NJ. Salvatore Joseph Degennaro practices in Lyndhurst, NJ and has the professional credentials of APRN. The NPI Number for Salvatore Joseph Degennaro is 1942027958 and holds a License No. 26NJ15205800 (NJ). The current practice location address for Salvatore Joseph Degennaro is 612 Rutherford Ave # A, Lyndhurst, NJ 07071-1217 and can be reached out via phone at 201-682-0515.

Provider Profile Details

NPI Number
1942027958
Provider Name
Salvatore Joseph Degennaro
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
612 Rutherford Ave # A, Lyndhurst, NJ 07071-1217
Phone Number
201-682-0515
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
September 21, 2024
Last Update Date
December 17, 2024
Certification Date
December 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
612 Rutherford Ave # A
Lyndhurst, NJ 07071-1217
Zip
07071-1217
Phone Number
201-682-0515
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
126 Lancaster RD
Freehold, NJ 07728-3111
City
Freehold
State
NJ
Zip
07728-3111
Phone Number
201-682-0515

License Information

License Number (1)
26NJ15205800
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
26NJ15205800
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 Salvatore J Degennaro, APRN?

The NPI number of Salvatore J Degennaro, APRN is 1942027958. It was assigned on September 21, 2024 and is currently active in the NPPES registry.

What is the specialty of Salvatore J Degennaro, APRN?

Salvatore J Degennaro, APRN is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ15205800.

Where does Salvatore J Degennaro, APRN practice?

The practice location is 612 Rutherford Ave # A, Lyndhurst, NJ 07071-1217. The office can be reached at 201-682-0515 (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 1942027958 directly on the NPPES registry website.

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