Provider Demographics
NPI:1750809125
Name:AMIN, NAIYA (APN)
Entity type:Individual
Prefix:MRS
First Name:NAIYA
Middle Name:
Last Name:AMIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 JAMES ST STE 208
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-3902
Mailing Address - Country:US
Mailing Address - Phone:908-731-1981
Mailing Address - Fax:
Practice Address - Street 1:35 CHERRYWOOD DR
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-6530
Practice Address - Country:US
Practice Address - Phone:732-762-0776
Practice Address - Fax:732-762-0776
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00747000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily