Danny Bishara
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Long Branch, NJ
NPI 1417577859 · NPPES record last updated Apr 24, 2020
Key facts
- NPI
- 1417577859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 300 2ND Ave
Long Branch, NJ 07740-6303 - Phone
- (732) 923-6790
- NPI assigned
- Apr 24, 2020
- Sex
- Male
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NJ | Yes |
Addresses
Primary practice location
300 2ND Ave
Long Branch, NJ 07740-6303
Mailing address
300 2ND Ave
Long Branch, NJ 07740-6395
Phone (732) 923-6790
Other providers in Long Branch, NJ
- Pinky Bhavsar
- Poorva Prashant Bhide
- Renu Bhuju
- Stephanie Bianchi
- Kevin Birnie
- Sonia Biswas
- Anna Blach
- Terri Szepesi Blair
- Mariah Blanton
- John Carl Bloodgood
All providers in Long Branch, NJ · Student in an Organized Health Care Education/Training Program 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 Apr 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.