Patricia A Cavanna, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NR12451400 Issued in NJ

Practice address

2A Sweeney CT
Montvale, NJ 07645-1786

Phone

(201) 410-6179

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bergen Rnfa LLC

  • Medical-Surgical Registered Nurse
  • Montvale, NJ
  • NPI 1972005130
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1447752605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2A SWEENEY CT",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451786",
            "telephone_number": "201-410-6179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2A SWEENEY CT",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451786",
            "telephone_number": "201-410-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANNA",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "9367031",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR12451400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Buonocore, PH.D.
• Teresa Bustamante, NP-C
• Dhielan Bungay Bustos, DPT
• Kellie Jean Carpenter
• Deirdre B. Casey, MSN, RN, AGACNP-BC
• Center for Resiliency, LLC
• Cesswell LLC
• Annmarie Champagne, PT
• Thomas A Chapman, DMD
• Chester Medical Supplies LLC

• Registered Nurse First Assistant in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.