Bonnie Matossian in Ridgewood - Nurse Practitioner
Bonnie Matossian - NPI 1548212467
Bonnie Matossian is a Nurse Practitioner in Ridgewood, New Jersey. Bonnie Matossian practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Bonnie Matossian is 1548212467. The last update date is 2011-07-28.
Bonnie Matossian's current location address is 1200 E Ridgewood Ave, Ridgewood, New Jersey. You can contact this provider via phone number 2016708660 and fax number 2016706693. The mailing address for Bonnie Matossian is 1200 E Ridgewood Ave, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonnie Matossian |
|---|---|
| Address | 1200 E Ridgewood Ave, Ridgewood, New Jersey |
| Phone Number | 2016708660 |
| Fax Number | 2016706693 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1548212467 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2011-07-28 |
Provider Mailing Address Detail
| Address | 1200 E Ridgewood Ave |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74503957 |
| Phone Number | 2016708660 |
| Fax Number | 2016706693 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 26NJ00056000 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Bonnie Matossian's unique identification number?
The Bonnie Matossian has been assigned the NPI (National Provider Identifier) Number 1548212467 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Bonnie Matossian?
The Bonnie Matossian is physically situated at 1200 E Ridgewood Ave, in the city of Ridgewood, state of NJ, with the postal code 74503957.
What is Bonnie Matossian's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bonnie Matossian is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Bonnie Matossian receive the assignment of its 1548212467 from the Centers for Medicare & Medicaid Services?
The Bonnie Matossian was issued its 1548212467 by the Centers for Medicare & Medicaid Services on 2006-05-17.
As of what date were the details pertaining to Bonnie Matossian last refreshed?
The information related to the Bonnie Matossian, including its address, specialty, and other relevant details, was last updated on 2011-07-28.