Provider Demographics
NPI:1801829601
Name:TAPPEL, JANICE A (NP)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:A
Last Name:TAPPEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-2144
Mailing Address - Country:US
Mailing Address - Phone:212-604-2682
Mailing Address - Fax:212-604-7281
Practice Address - Street 1:203 W 12TH ST
Practice Address - Street 2:IDC - 1ST FLR, O'TOOLE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7762
Practice Address - Country:US
Practice Address - Phone:212-604-2682
Practice Address - Fax:212-604-7281
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF302929-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP45954Medicare UPIN