Remedios N Azares, APNC
Individual provider Active NPI Nurse Practitioner · Dover, NJ
NPI 1063707495 · NPPES record last updated Jun 14, 2011
Key facts
- NPI
- 1063707495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 26NJ00307500 (NJ)
- Practice address
- 400 W Blackwell St
Dover, NJ 07801-2525 - Phone
- (973) 989-3085
- Fax
- (973) 989-3106
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110815000043 | NJ | Practitioner - Nurse Practitioner | 6305015041 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00307500 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Tzeng MD LLC | Current |
Accepting new patients | |
| Vital Medical Forces of Dover PC | Past | Accepting new patients |
Locations
40 Watchung Way
Berkeley Hts, NJ 07922
Phone (908) 771-5700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00307500 | NJ | Yes |
Addresses
Primary practice location
400 W Blackwell St
Dover, NJ 07801-2525
Mailing address
400 W Blackwell St
Dover, NJ 07801-2525
Phone (973) 989-3085
Other providers in Dover, NJ
- Arthritis and Allergy Associates LLC
- Kristie Ashe
- At Your Feet Podiatry LLC
- Atlantic Health
- Autumn Hills Home Care LLC
- Back Solutions, LLC
- Mini Balaji
- Melanie Diane Bale
- Ashley Banks
- Lara J Barry
All providers in Dover, NJ · Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.