Provider Demographics
NPI:1629837547
Name:ROGOVAYA, FAINA (RN)
Entity Type:Individual
Prefix:
First Name:FAINA
Middle Name:
Last Name:ROGOVAYA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ROWENA RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1720
Mailing Address - Country:US
Mailing Address - Phone:917-400-2934
Mailing Address - Fax:
Practice Address - Street 1:28 ROWENA RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1720
Practice Address - Country:US
Practice Address - Phone:917-400-2934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY652377163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse