Rengifo, Nicole

Rengifo, Nicole is an sole proprietor health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Rengifo, Nicole can be contacted via phone (201) 833-3000.

Contact Information

Primary practice address
718 Teaneck Rd Teaneck NJ 07666-4245
Phone: (201) 833-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00714000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 26NJ00714000 New Jersey

Profile Details

NPI number 1104366699
LBN Legal business name Rengifo, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2017
Last updated Mar 2nd, 2017 - about 8 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.

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