Malabanan, Nerissa
Malabanan, Nerissa is an individual health care provider with primary practice located at 1222 Kennedy Blvd , Bayonne NJ 07002-9211. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Malabanan, Nerissa can be contacted via phone (201) 319-9800.Contact Information
Primary practice address
1222 Kennedy Blvd
Bayonne NJ 07002-9211
Phone: (201) 319-9800
Fax: (201) 437-9661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA06095100 | New Jersey |
Profile Details
| NPI number | 1255428124 |
|---|---|
| LBN Legal business name | Malabanan, Nerissa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Feb 24th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255428124 | NPPES |
| New Jersey | MEDICAID | 7015704 |
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