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Contact Information

FRED PRENDERGASS, CRNA
355 GRAND ST
JERSEY CITY, NJ07302-4321
 Phone: 201-915-2405
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for FRED PRENDERGASS · (Male)

NPI # 1104855345
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 07/01/2006
Last updated 03/19/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00212000
  • NJ License # 51286
Hospital affiliation(s)
  • LIBERTYHEALTH-JERSEY CITY MEDICAL CENTER CAMPUS - (Acute Care)
    355 GRAND STREET
    JERSEY CITY, NJ 07302
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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