| NPI | 1124253752 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2009-05-27 |
| Last Updated | 2019-07-15 |
| Mailing Address | Po Box 419430 Boston, MA 02241-9430 United States Phone: (201) 967-8221 | Fax: (201) 483-2242 📍 View Map |
| Primary Practice Address | 123 Highland Ave Ste 301 Glen Ridge, NJ 07028-1522 United States Phone: (973) 744-3733 | Fax: (973) 707-5821 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RE0101X – Internal Medicine, Endocrinology, Diabetes & Metabolism | NJ | 25MA09223600 |
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About NPI 1124253752
Marlyn Fernandez MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124253752. The primary specialty listed is Internal Medicine, Endocrinology, Diabetes & Metabolism. The provider is located in Glen Ridge, NJ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-05-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124253752?
NPI 1124253752 belongs to Marlyn Fernandez MD, a Internal Medicine, Endocrinology, Diabetes & Metabolism in Glen Ridge, NJ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124253752 active?
The current status of NPI 1124253752 in the NPPES registry is Active. The record was last updated on 2019-07-15.
What specialty is NPI 1124253752?
NPI 1124253752 is classified under the taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124253752?
You can verify NPI 1124253752 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124253752?
The primary practice address on file for NPI 1124253752 is 123 Highland Ave Ste 301, Glen Ridge, NJ 07028-1522. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124253752 issued?
NPI 1124253752 was first issued (enumerated) on 2009-05-27. The NPPES record was last updated on 2019-07-15.
Practice Location Map
Marlyn Fernandez is located at 123 Highland Ave Ste 301, Glen Ridge, NJ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Marlyn Fernandez. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124253752. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 25MA09223600 | NJ |