HEIDI IRENE PROKOFIEV APN NPI 1255772281

NPI Information

NPI: 1255772281
Provider Name: HEIDI IRENE PROKOFIEV, APN
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
3575 QUAKERBRIDGE RD
HAMILTON, NJ
ZIP 08619
Phone: (609) 631-2839
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Heidi Irene Prokofiev, APN is a pediatrics nurse practitioner in Hamilton, NJ. Heidi Irene Prokofiev, APN NPI is 1255772281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3575 QUAKERBRIDGE RD
HAMILTON, NJ
ZIP 08619-271
Phone: (609) 631-2839

The NPI 1255772281 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2013 and was last updated on 5/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN657712	PENNSYLVANIA	No
2	163W00000X	Registered Nurse		26NR17126100	NEW JERSEY	No
3	163W00000X	Registered Nurse		22658666	NEW YORK	No
4	363LP0200X	Nurse Practitioner	Pediatrics	26NJ00501600	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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