Provider Demographics
NPI:1235280330
Name:DEMPSEY, DENISE BRUZZI (MSN)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:BRUZZI
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:774 NEWMAN SPRINGS RD
Mailing Address - Street 2:LINCROFT PO 487
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1632
Mailing Address - Country:US
Mailing Address - Phone:732-673-2999
Mailing Address - Fax:732-544-1901
Practice Address - Street 1:719 N BEERS ST STE 1F
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1523
Practice Address - Country:US
Practice Address - Phone:732-788-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC06235000364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health