DEJA L FARLEY


Address: 370 W 4th Ave, Roselle, NJ 07203-1138
Phone: 9088684079

DEJA L FARLEY (NPI# 1871064477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871064477
Entity Type Individual
Full Name DEJA L FARLEY
Practice Address 370 W 4th Ave
Roselle
NJ 07203-1138
Practice Telephone 9088684079
Mailing Telephone 9088684079
Enumeration Date 2018-12-09
Last Update Date 2018-12-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
32WG05998200 NY Other Service Providers

Office Location

Street Address 370 W 4TH AVE
City ROSELLE
State NJ
Zip Code 07203-1138

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1366827388 Community Access Unlimited Inc Community/Behavioral Health 307-311 West 1st Ave, Roselle, NJ 07203 2015-07-21
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700433471 Sara Pineda Specialist 806 Livingston Ave, North Brunswick, NJ 08902-2354 2019-08-19
1013570142 Tonya Lawson Specialist 1536a Liberty Ave, Hillside, NJ 07205-1331 2019-04-15
1235690702 Dwayne K Mccormick Sr. Specialist 542 Bloy St, Hillside, NJ 07205-1744 2019-03-27
1225509136 Carmesha L Atwater Specialist 269 Varick St, Jersey City, NJ 07302-4032 2018-12-17
1912495060 Angela Phipps Specialist 209 Clinton Pl, Hackensack, NJ 07601-3673 2018-04-24
1437653623 Miya M Fish Specialist 84 E Cherry St, Rahway, NJ 07065-4012 2018-03-21
1538676754 Londyn Dior Salon LLC Specialist 1 Berlin Rd Bldg 4, Clementon, NJ 08021-4548 2018-01-09
1093227860 Tangible Beauty Enterprises LLC Specialist 200 Haddonfield Berlin Rd Ste 3, Voorhees, NJ 08043-1400 2017-11-01
1063952729 Ronnie C Yuen Jr. Specialist 409 N White Horse Pike, Unit- D, Somerdale, NJ 08083-1547 2017-02-28
1639611098 Stacy Hammond Specialist 3 Buchanan St, Cranford, NJ 07016-3426 2016-11-15
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Competitor

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City ROSELLE
Zip Code 07203

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Dataset Information

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.

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