Provider Demographics
NPI:1659481216
Name:NAUNGAYAN, CHRISTINE STEPHANIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:STEPHANIE
Last Name:NAUNGAYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3189
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-9104
Mailing Address - Country:US
Mailing Address - Phone:973-600-5465
Mailing Address - Fax:201-353-2514
Practice Address - Street 1:311 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2240
Practice Address - Country:US
Practice Address - Phone:973-600-5465
Practice Address - Fax:201-353-2514
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0426332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004235926Medicaid