Individual provider Active NPI

Henny Avitan, RN

  • Infusion Therapy Registered Nurse
  • Franklin Lakes, NJ
National Provider Identifier
1831837129
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
License
26NR19824800 Issued in NJ
Practice address
579 Ewing Ave
Franklin Lakes, NJ 07417-2302
Phone
(201) 951-7200
NPI assigned
May 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WI0500X 26NR19824800 NJ Primary

Addresses

Primary practice location

579 Ewing Ave
Franklin Lakes, NJ 07417-2302

Mailing address

579 Ewing Ave
Franklin Lakes, NJ 07417-2302
Phone (201) 951-7200

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR19824800NJMDInfusion Therapy Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nativa Wellness LLC Infusion Therapy Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1831837129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 EWING AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172302",
            "telephone_number": "201-951-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 EWING AVE",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172302",
            "telephone_number": "201-951-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVITAN",
        "first_name": "HENNY",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NJ",
            "license": "26NR19824800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Lakes, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.