Provider Demographics
NPI:1518542141
Name:AUGENBAUM, ESTHER ROCHELLE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:ROCHELLE
Last Name:AUGENBAUM
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 GLENWOOD DR E
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3309
Mailing Address - Country:US
Mailing Address - Phone:240-277-3881
Mailing Address - Fax:
Practice Address - Street 1:54 GLENWOOD DR E
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-3309
Practice Address - Country:US
Practice Address - Phone:240-277-3881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01148700363LP2300X
NJ26NR20444700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse