Provider Demographics
NPI:1346610490
Name:CUFFEE, NATASHA A (NP)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:A
Last Name:CUFFEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1081 PAULISON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3658
Mailing Address - Country:US
Mailing Address - Phone:973-779-7999
Mailing Address - Fax:973-779-7939
Practice Address - Street 1:6045 KENNEDY BLVD STE B
Practice Address - Street 2:
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-3246
Practice Address - Country:US
Practice Address - Phone:201-420-6300
Practice Address - Fax:973-779-7939
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00596000363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0505994Medicaid
NJ26NJ00596000OtherLICENSE
NJ464392P4PMedicare PIN