1144342486 NPI number — MRS. SARAH S WON LCSW, APRN

Table of content: MRS. SARAH S WON LCSW, APRN (NPI 1144342486)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144342486 NPI number — MRS. SARAH S WON LCSW, APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WON
Provider First Name:
SARAH
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW, APRN
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:
1144342486
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 580
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
METUCHEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08840-0580
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-412-0900
Provider Business Mailing Address Fax Number:
732-662-3306

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24 WERNIK PL
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
METUCHEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08840-2468
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-412-0900
Provider Business Practice Location Address Fax Number:
732-662-3306
Provider Enumeration Date:
04/06/2007

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: 363LP0808X , with the licence number:  26NJ00130300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: 44SC05410100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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