Octaviani-Reyes, Melba E

Octaviani-Reyes, Melba E is an individual health care provider with primary practice located at 7224 Bergenline Ave , North Bergen NJ 07047-5417. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Octaviani-Reyes, Melba E can be contacted via phone (201) 869-4603.

Contact Information

Primary practice address
7224 Bergenline Ave North Bergen NJ 07047-5417
Phone: (201) 869-4603
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14,814 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 262778 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07711600 New Jersey

Profile Details

NPI number 1003900689
LBN Legal business name Octaviani-Reyes, Melba E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Apr 11th, 2018 - about 8 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 1003900689 NPPES
New York MEDICAID 03539879

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