Provider Demographics
NPI:1164699955
Name:HE, NINGNING (MD)
Entity Type:Individual
Prefix:
First Name:NINGNING
Middle Name:
Last Name:HE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2040 MILLBURN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3716
Mailing Address - Country:US
Mailing Address - Phone:908-723-6901
Mailing Address - Fax:908-242-3902
Practice Address - Street 1:2040 MILLBURN AVE STE 104
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3716
Practice Address - Country:US
Practice Address - Phone:908-242-3688
Practice Address - Fax:908-242-3902
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08392000207L00000X, 174400000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6740700001Medicare NSC