Provider Demographics
NPI:1376607861
Name:BEENSTOCK, DANA J (NP-C DNP)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:J
Last Name:BEENSTOCK
Suffix:
Gender:F
Credentials:NP-C DNP
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:J
Other - Last Name:REINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:901 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-294-2505
Practice Address - Fax:732-761-8084
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00074400363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health