Dynof, Jeffrey

Dynof, Jeffrey is an individual health care provider with primary practice located at 221 Park Ave , Rutherford NJ 07070-2309. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Dynof, Jeffrey can be contacted via phone (201) 293-0976.

Contact Information

Primary practice address
221 Park Ave Rutherford NJ 07070-2309
Phone: (201) 293-0976
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ01195000 New Jersey

Profile Details

NPI number 1649948589
LBN Legal business name Dynof, Jeffrey
Credentials DNP, APN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2021
Last updated Apr 3rd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649948589 NPPES
New Jersey MEDICAID 0817619

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