Octaviani-Reyes, Melba E
Octaviani-Reyes, Melba E is an individual health care provider with primary practice located at 7224 Bergenline Ave , North Bergen NJ 07047-5417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Octaviani-Reyes, Melba E can be contacted via phone (201) 869-4603.Contact Information
Primary practice address
7224 Bergenline Ave
North Bergen NJ 07047-5417
Phone: (201) 869-4603
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14,814 | Puerto Rico |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 262778 | New York |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA07711600 | New Jersey |
Profile Details
NPI number | 1003900689 |
---|---|
LBN Legal business name | Octaviani-Reyes, Melba E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Apr 11th, 2018 - about 6 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 | 1003900689 | NPPES |
New York | MEDICAID | 03539879 |
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