NICOLE RENGIFO (NPI# 1104366699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104366699 |
| Entity Type | Individual |
| Full Name | NICOLE RENGIFO |
| Practice Address |
718 Teaneck Rd Teaneck NJ 07666-4245 |
| Mailing Address |
227 E 3rd Ave Roselle NJ 07203-1333 |
| Practice Telephone | 2018333000 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00714000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
26NJ00714000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
718 TEANECK RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900549 | John Jude Klein | Specialist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2005-05-27 |
| 1962013086 | Andrew Murgittroyd | Pharmacist | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-08-12 |
| 1386266179 | Kimberly A Miletti | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2020-05-14 |
| 1043857469 | Tara Lynn Hill | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4281 | 2019-12-04 |
| 1487291282 | Tamara Szwecki | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-30 |
| 1053958819 | Mikyong Cho | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-28 |
| 1447896287 | Jaclyn Susan Giordano | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1619513454 | Rose Apkarian | Dietitian, Registered | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-11-26 |
| 1609335769 | Mallory Nop | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2019-03-18 |
| 1639649593 | Robert J Walsh | Physical Medicine & Rehabilitation | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371813 | Jennifer Joy Williams | Nurse Practitioner | 550 Center Pl, Teaneck, NJ 07666-1626 | 2019-11-19 |
| 1871153338 | Olesya Ilashuk | Nurse Practitioner | 870 Palisade Ave Ste 302, Teaneck, NJ 07666-3446 | 2019-06-17 |
| 1215402219 | Hilary Nocka Jones | Nurse Practitioner | 757 Teaneck Rd, Teaneck, NJ 07666-4241 | 2018-10-05 |
| 1699267138 | Ani Cioffo | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018-05-31 |
| 1831688894 | Marlene Fearon | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2018-05-05 |
| 1376095349 | Kristyn Ann Papageorgiou | Nurse Practitioner | 757 Teaneck Road, #e, Teaneck, NJ 07666 | 2016-10-26 |
| 1861864316 | Margaret Denise Edwards | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2015-10-23 |
| 1033526413 | Diego Loaiza | Nurse Practitioner | 865 Teaneck Rd, Teaneck, NJ 07666-4513 | 2014-07-17 |
| 1750792636 | Dorene Geraldine Veliky | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2014-05-14 |
| 1922367150 | Kathleen Vander Ploeg | Nurse Practitioner | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2012-05-08 |
| Find all providers in TEANECK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.