1922285329 NPI number — MS. FELECIA MONIQUE BRIGGS MS, APRN-BC

Table of content: MS. FELECIA MONIQUE BRIGGS MS, APRN-BC (NPI 1922285329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922285329 NPI number — MS. FELECIA MONIQUE BRIGGS MS, APRN-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRIGGS
Provider First Name:
FELECIA
Provider Middle Name:
MONIQUE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, APRN-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922285329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 EXCHANGE PL
Provider Second Line Business Mailing Address:
15TH FLOOR
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07302-3918
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-795-8412
Provider Business Mailing Address Fax Number:
201-418-7067

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
142 PALISADE AVE
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
JERSEY CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07306-1133
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-795-8412
Provider Business Practice Location Address Fax Number:
201-418-7067
Provider Enumeration Date:
01/28/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  26NJ00132200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1972778413 . This is a "1148-1150 SPRINGFIELD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1740345693 . This is a "741 BROADWAY" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 272900232 . This is a "NJ MEDICAL AND HEALTH ASSOCIATES" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 154717 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1932370483 . This is a "101 LUDLOW STREET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1235300799 . This is a "37 N DAY" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1548431091 . This is a "982 BROAD STREET" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".