MRS. LAUREN ILLYA KOHLBERG C.P.N.P NPI 1235252065

NPI Information

NPI: 1235252065
Provider Name: MRS. LAUREN ILLYA KOHLBERG, C.P.N.P
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: ADVOCARE LLC

PECOS Registration: Yes

Address:
1500 PLEASANT VALLEY WAY
SUITE 301
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 243-0002
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MRS. Lauren Illya Kohlberg, C.P.N.P is a pediatrics nurse practitioner in West Orange, NJ with 19 years of experience. MRS. Lauren Illya Kohlberg, C.P.N.P NPI is 1235252065. 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:

1500 PLEASANT VALLEY WAY
SUITE 301
WEST ORANGE, NJ
ZIP 07052-956
Phone: (973) 243-0002

The NPI 1235252065 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 4/8/2007 and was last updated on 6/28/2011.

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	363LP0200X	Nurse Practitioner	Pediatrics	26NO12100400	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: 11/14/2023

NPI Synchronization or Removal

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