1891096848 NPI number — TFNP, INC.

Table of content: (NPI 1891096848)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891096848 NPI number — TFNP, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TFNP, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1891096848
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
694 STATE ROUTE 15 S STE 105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE HOPATCONG
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07849-2249
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-288-1550
Provider Business Mailing Address Fax Number:
973-288-1552

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
694 STATE ROUTE 15 S STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE HOPATCONG
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07849-2249
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-288-1550
Provider Business Practice Location Address Fax Number:
973-288-1552
Provider Enumeration Date:
11/08/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FULLER
Authorized Official First Name:
TERRI
Authorized Official Middle Name:
Authorized Official Title or Position:
ADVANCED PRACTICE REGISTERED NURSE
Authorized Official Telephone Number:
973-288-1550

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 026205P65 . This is a "FULLER MEDICARE PIN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1043309081 . This is a "ANDREI BUNA, MD" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 1891096848 . This is a "ADVANCED WOMEN'S HEALTH, LLC GROUP PIN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".