| Leah Serviano, RN | |
|
223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | |
| (201) 447-8000 | |
| Not Available |
| Full Name | Leah Serviano |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 223 N Van Dien Ave, Ridgewood, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528597218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR17717200 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | F431247 (New York) | Primary |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Serviano, RN 1527 11th St, Fort Lee, NJ 07024-2123 Ph: () - | Leah Serviano, RN 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 Ph: (201) 447-8000 |
Jennifer Polizzano, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8345 Fax: 201-447-8103 | |
Kelly Rumler, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Samantha Leigh Guillod, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Susan Bell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450 Phone: 201-612-1006 Fax: 201-612-1091 | |
Kimberly Michele Pryslak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Carly Samantha Fried, MSN, CPNP-AC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450 Phone: 908-616-0871 | |
Mary Catherine Collins, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8371 |