Provider Demographics
NPI:1033487152
Name:NEGRI, THOMAS J (ANP)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:NEGRI
Suffix:
Gender:M
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9101 RAVENSCROFT RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2727
Mailing Address - Country:US
Mailing Address - Phone:973-246-5413
Mailing Address - Fax:973-246-5413
Practice Address - Street 1:9101 RAVENSCROFT RD
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2727
Practice Address - Country:US
Practice Address - Phone:973-246-5413
Practice Address - Fax:973-246-5413
Is Sole Proprietor?:No
Enumeration Date:2011-12-03
Last Update Date:2011-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11976900163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical