Active NPIIndividual providerSole proprietor

Jancy Civichan

Nurse Practitioner, Adult Health in Pleasantville, New Jersey

NPI Number1952897829
Practice location
258 N New RD, Pleasantville, NJ 08232
Fax
732-994-6993
Last updated
November 13, 2018

Jancy Civichan is a Nurse Practitioner, Adult Health based in Pleasantville, NJ. Jancy Civichan practices in Pleasantville, NJ. The NPI Number for Jancy Civichan is 1952897829 and holds a License No. 26NJ00812700 (NJ). The current practice location address for Jancy Civichan is 258 N New RD, Pleasantville, NJ 08232 and can be reached out via phone at 732-743-5910 and via fax at 732-994-6993.

Provider Profile Details

NPI Number
1952897829
Provider Name
Jancy Civichan
Provider Entity Type
Individual
Gender
Female
Address
258 N New RD, Pleasantville, NJ 08232
Phone Number
732-743-5910
Fax Number
732-994-6993
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2018
Last Update Date
November 13, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
258 N New RD
Pleasantville, NJ 08232
Zip
08232
Phone Number
732-743-5910
Fax Number
732-994-6993
Pleasantville, NJ 08232Get directions →

Provider Business Mailing Address Details

Address
258 N New RD
Pleasantville, NJ 08232-2170
City
Pleasantville
State
NJ
Zip
08232-2170
Phone Number
732-743-5910
Fax Number
732-994-6993

License Information

License Number (1)
26NJ00812700
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Gerontology · 163WG0600X
License Number (2)
26NJ00812700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X · 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 Jancy Civichan?

The NPI number of Jancy Civichan is 1952897829. It was assigned on July 3, 2018 and is currently active in the NPPES registry.

What is the specialty of Jancy Civichan?

Jancy Civichan is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NJ00812700.

Where does Jancy Civichan practice?

The practice location is 258 N New RD, Pleasantville, NJ 08232. The office can be reached at 732-743-5910 (phone) or 732-994-6993 (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 1952897829 directly on the NPPES registry website.

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