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Contact Information

IRINA COSTA
31 UNION COUNTY PKWY
CLARK, NJ07066-1917
 Phone: 908-531-5543
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for IRINA COSTA · (Female)

NPI Number 1952786246
Status Active
Credentials
Entity Individual
Enumeration date 07/28/2015
Last updated 07/28/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NJ00578500
  • NJ License # 26NR12516100
Hospital affiliation(s)
  • SAINT BARNABAS MEDICAL CENTER - (Acute Care)
    94 OLD SHORT HILLS ROAD
    LIVINGSTON, NJ 07039
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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