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 | 202D00000X | Integrative Medicine | | 26NJ00620700 | NEW JERSEY | No |
| 2 | 207RB0002X | Internal Medicine | Obesity Medicine | 26NJ00620700 | NEW JERSEY | No |
| 3 | 207RG0300X | Internal Medicine | Geriatric Medicine | 26NJ00620700 | NEW JERSEY | No |
| 4 | 261QI0500X | Clinic/Center | Infusion Therapy | 26NJ00720700 | NEW JERSEY | No |
| 5 | 261QP2300X | Clinic/Center | Primary Care | 26NJ00620700 | NEW JERSEY | No |
| 6 | 363LA2200X | Nurse Practitioner | Adult Health | SP015914 | PENNSYLVANIA | No |
| 7 | 363LA2200X | Nurse Practitioner | Adult Health | 26NJ00620700 | NEW JERSEY | Yes |