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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SALVATORE JOSEPH DEGENNARO, APRN

Active Sole Proprietor

SALVATORE JOSEPH DEGENNARO, APRN is a Gerontological Nurse Practitioner healthcare provider located in LYNDHURST, New Jersey. NPI 1942027958 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · LYNDHURST, NJ

Registration Details

NPI Number
1942027958
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2024 (1.8608319175087 yrs)
Last Updated
Dec 17, 2024
Licenses
26NJ15205800 (NJ)
26NJ15205800 (NJ)
Sole Proprietor
Yes

Practice Information

Address
612 RUTHERFORD AVE # A
LYNDHURST, NJ, 070711217
Browse NJ providers · Browse ZIP 07071
Phone
2016820515
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.