Provider Demographics
NPI:1255397931
Name:MERINGER, DONNA LYNN (NP)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:LYNN
Last Name:MERINGER
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 1:254 EASTON AVE
Mailing Address - Street 2:WOMEN'S AMBULATORY CENTER
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1766
Mailing Address - Country:US
Mailing Address - Phone:732-745-8600
Mailing Address - Fax:732-829-8929
Practice Address - Street 1:254 EASTON AVE
Practice Address - Street 2:WOMEN'S AMBULATORY CENTER
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1766
Practice Address - Country:US
Practice Address - Phone:732-745-8600
Practice Address - Fax:732-829-8929
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08173800363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K5421OtherHEALTHNET
NJ0028771Medicaid
NJ2K5421OtherHEALTHNET