Provider Demographics
NPI:1518410349
Name:ROUPENIAN, VERONICA MARIA (APN)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARIA
Last Name:ROUPENIAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:MARIA
Other - Last Name:ROSSI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN
Mailing Address - Street 1:92 SUMMIT AVENUE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601
Mailing Address - Country:US
Mailing Address - Phone:201-342-0066
Mailing Address - Fax:201-342-0079
Practice Address - Street 1:92 SUMMIT AVENUE
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601
Practice Address - Country:US
Practice Address - Phone:201-342-0066
Practice Address - Fax:201-342-0079
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00650900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner