Provider Demographics
NPI:1346817426
Name:PINKNEY, SERENITY NOEL
Entity Type:Individual
Prefix:
First Name:SERENITY
Middle Name:NOEL
Last Name:PINKNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:857 QUINTON AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-2403
Mailing Address - Country:US
Mailing Address - Phone:609-968-4504
Mailing Address - Fax:609-968-4504
Practice Address - Street 1:857 QUINTON AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08629-2403
Practice Address - Country:US
Practice Address - Phone:609-968-4504
Practice Address - Fax:609-968-4504
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)