Mrs. Derise Augustave
Licensed Practical Nurse in East Orange, New Jersey
1972295442- Practice location
- 155 S Clinton St Bldg B, East Orange, NJ 07018-3039
- Phone
- 914-268-5537
- Fax
- —
- Last updated
- May 23, 2023
Derise Augustave is a Licensed Practical Nurse based in East Orange, NJ. Derise Augustave practices in East Orange, NJ. The NPI Number for Derise Augustave is 1972295442 and holds a License No. 342151 (NY). The current practice location address for Derise Augustave is 155 S Clinton St Bldg B, East Orange, NJ 07018-3039 and can be reached out via phone at 914-268-5537.
Provider Profile Details
- NPI Number
- 1972295442
- Provider Name
- Derise Augustave
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 155 S Clinton St Bldg B, East Orange, NJ 07018-3039
- Phone Number
- 914-268-5537
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 23, 2023
- Last Update Date
- May 23, 2023
- Certification Date
- May 23, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 155 S Clinton St Bldg B
East Orange, NJ 07018-3039 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3039
- Phone Number
- 914-268-5537
Provider Business Mailing Address Details
- Address
- 155 S Clinton St Bldg B
East Orange, NJ 07018-3039 - City
- East Orange
- State
- NJ
- Zip
- 07018-3039
- Phone Number
- 914-268-5537
License Information
- License Number
- 342151
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mrs. Derise Augustave?
The NPI number of Mrs. Derise Augustave is 1972295442. It was assigned on May 23, 2023 and is currently active in the NPPES registry.
What is the specialty of Mrs. Derise Augustave?
Mrs. Derise Augustave is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 342151.
Where does Mrs. Derise Augustave practice?
The practice location is 155 S Clinton St Bldg B, East Orange, NJ 07018-3039. The office can be reached at 914-268-5537 (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 1972295442 directly on the NPPES registry website.