Cheryl Eth, RN

Individual provider Active NPI Registered Nurse · Dumont, NJ

NPI 1043334741 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043334741
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
NR94751 (NJ)
Practice address
2 Park Ave
Dumont, NJ 07628-3004
Phone
(201) 385-4400
Fax
(201) 384-7067
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NR94751NJMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NR94751 NJ Yes

Addresses

Primary practice location

2 Park Ave
Dumont, NJ 07628-3004

Mailing address

2 Park Ave
Dumont, NJ 07628-3004
Phone (201) 385-4400

Other providers in Dumont, NJ

All providers in Dumont, NJ · Registered Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.