Active NPIIndividual providerSole proprietor

Justin Daryl A Duan

Nurse Practitioner, Family in Kenilworth, New Jersey

NPI Number1962375386
Practice location
41 N 11TH St, Kenilworth, NJ 07033-1519
Fax
—
Last updated
October 24, 2025

Justin Daryl A Duan is a Nurse Practitioner, Family based in Kenilworth, NJ. Justin Daryl A Duan practices in Kenilworth, NJ. The NPI Number for Justin Daryl A Duan is 1962375386 and holds a License No. 26NJ15429700 (NJ). The current practice location address for Justin Daryl A Duan is 41 N 11TH St, Kenilworth, NJ 07033-1519 and can be reached out via phone at 201-673-4436.

Provider Profile Details

NPI Number
1962375386
Provider Name
Justin Daryl A Duan
Provider Entity Type
Individual
Gender
Male
Address
41 N 11TH St, Kenilworth, NJ 07033-1519
Phone Number
201-673-4436
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
September 24, 2025
Last Update Date
October 24, 2025
Certification Date
September 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 N 11TH St
Kenilworth, NJ 07033-1519
Zip
07033-1519
Phone Number
201-673-4436
Kenilworth, NJ 07033Get directions →

Provider Business Mailing Address Details

Address
41 N 11TH St
Kenilworth, NJ 07033-1519
City
Kenilworth
State
NJ
Zip
07033-1519

License Information

License Number
26NJ15429700
License State
NJ
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 Justin Daryl A Duan?

The NPI number of Justin Daryl A Duan is 1962375386. It was assigned on September 24, 2025 and is currently active in the NPPES registry.

What is the specialty of Justin Daryl A Duan?

Justin Daryl A Duan is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15429700.

Where does Justin Daryl A Duan practice?

The practice location is 41 N 11TH St, Kenilworth, NJ 07033-1519. The office can be reached at 201-673-4436 (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 1962375386 directly on the NPPES registry website.

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