Provider Demographics
NPI:1295290666
Name:MACFARLANE, TEJAL A (FNP)
Entity type:Individual
Prefix:
First Name:TEJAL
Middle Name:A
Last Name:MACFARLANE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-1508
Mailing Address - Country:US
Mailing Address - Phone:973-885-1840
Mailing Address - Fax:
Practice Address - Street 1:83 HANOVER RD STE 206
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1508
Practice Address - Country:US
Practice Address - Phone:973-437-3071
Practice Address - Fax:248-855-5455
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-09
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00867300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily