MARCEL KAGANOVSKAYA FNP NPI 1417301094

NPI Information

NPI: 1417301094
Provider Name: MARCEL KAGANOVSKAYA, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
131 OVERPECK AVE
RIDGEFIELD PARK, NJ
ZIP 07660
Phone: (201) 667-2197
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Marcel Kaganovskaya, FNP is a psychiatric/mental health nurse practitioner in Ridgefield Park, NJ. Marcel Kaganovskaya, FNP NPI is 1417301094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

131 OVERPECK AVE
RIDGEFIELD PARK, NJ
ZIP 07660-855
Phone: (201) 667-2197

The NPI 1417301094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2016 and was last updated on 12/16/2022.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F404375	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ01158200	NEW JERSEY	Yes
3	363LF0000X	Nurse Practitioner	Family	340371	NEW YORK	No

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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