Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 26NJ00100300 | NJ |
N | 363LF0000X | Nurse Practitioner - Family Medicine | F334705 | NY |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ00100300 | NJ |
NPI | 1033257241 |
---|---|
Provider Name | Ariel G Almacen |
First Address | Belleville, NJ 07109-1036 |
Second Address | Belleville, NJ 07109-1036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2007 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142990XVA | (02) | NJ |