Provider Demographics
NPI:1861565749
Name:TSENG, JUDY M (LAC, CAC, NP)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:M
Last Name:TSENG
Suffix:
Gender:F
Credentials:LAC, CAC, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 ARTHUR AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2609
Mailing Address - Country:US
Mailing Address - Phone:201-567-1627
Mailing Address - Fax:
Practice Address - Street 1:349 2ND ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-2669
Practice Address - Country:US
Practice Address - Phone:201-396-0145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00045200171100000X
NY003011-1171100000X
NYF350132-1363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171100000XOther Service ProvidersAcupuncturist
Not Answered363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal