Basic Information
Provider Information
NPI: 1548714017
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TORCHIA
FirstName: MEGAN
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 0054 E AMSTERDAM AVE
Address2:  
City: FAIR LAWN
State: NJ
PostalCode: 074104632
CountryCode: US
TelephoneNumber: 2015231602
FaxNumber:  
Practice Location
Address1: 61 N MAPLE AVE
Address2: SUITE 305
City: RIDGEWOOD
State: NJ
PostalCode: 074503255
CountryCode: US
TelephoneNumber: 2014442019
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/12/2016
LastUpdateDate: 08/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LG0600X26NJ00660400NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology

No ID Information.


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