Hyeryoung Gwie

Individual provider Active NPI Registered Nurse · Cresskill, NJ

NPI 1215426416 · NPPES record last updated May 3, 2018

Key facts

NPI
1215426416
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
704561-1 (NY)
Practice address
217 Wilson Dr
Cresskill, NJ 07626-1711
Phone
(201) 281-5311
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26NR17675200NJMDRegistered Nurse
704561-1NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR17675200 NJ
Registered Nurse 163W00000X 704561-1 NY Yes

Addresses

Primary practice location

217 Wilson Dr
Cresskill, NJ 07626-1711

Mailing address

217 Wilson Dr
Cresskill, NJ 07626-1711
Phone (201) 281-5311

Other providers in Cresskill, NJ

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

Sources for this page

Verify at the official NPI Registry.