Provider Demographics
NPI:1598847790
Name:SYLVIA, ANN J (APN)
Entity Type:Individual
Prefix:MRS
First Name:ANN
Middle Name:J
Last Name:SYLVIA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2156
Mailing Address - Country:US
Mailing Address - Phone:973-653-3366
Mailing Address - Fax:973-653-3365
Practice Address - Street 1:246 HAMBURG TPKE
Practice Address - Street 2:SUITE 207
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2156
Practice Address - Country:US
Practice Address - Phone:973-653-3366
Practice Address - Fax:973-653-3365
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ000571000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ01227833500OtherAMERICHOICE
NJ2716480OtherUNITED HEALTHCARE
NJ26NJ00057100ANEOtherHEALTHFIRST
NJ1598847790OtherUNITED HC
NJ86A651OtherEMPIRE
NJP3755194OtherOXFORD
NJ0119661Medicaid
NJ221963249OtherBCBS
NJ4K3824OtherHEALTHNET
NJ2716480OtherUNITED HEALTHCARE