Provider Demographics
NPI:1073649075
Name:SCHAFF, DENISE (APN, CWS)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:SCHAFF
Suffix:
Gender:F
Credentials:APN, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1358 HOOPER AVE # 289
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-2882
Mailing Address - Country:US
Mailing Address - Phone:732-644-9388
Mailing Address - Fax:732-281-5565
Practice Address - Street 1:1358 HOOPER AVE # 289
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-2882
Practice Address - Country:US
Practice Address - Phone:732-644-9388
Practice Address - Fax:732-281-5565
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00055300363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0049565Medicaid
NJ085139Medicare PIN