Provider Demographics
NPI:1740552363
Name:BUSARI, RUKAYYA (FNP)
Entity type:Individual
Prefix:
First Name:RUKAYYA
Middle Name:
Last Name:BUSARI
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 1:44 LUPINE LN FL 8
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3138
Mailing Address - Country:US
Mailing Address - Phone:164-672-5321
Mailing Address - Fax:
Practice Address - Street 1:44 LUPINE LN
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3138
Practice Address - Country:US
Practice Address - Phone:164-672-5321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-27
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591880163W00000X
NJ26NJ00819000363LF0000X
NY341701363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse