# ADVANCED PRACTICE PROVIDER GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629385711
- **Authorized official:** MS. AUDREY MEYERS (PRESIDENT)
- **Authorized official phone:** (201) 447-8000

## Contact information

- **Practice address:** 15 ESSEX RD, PARAMUS, NJ 07652-1451
- **Practice address phone:** (201) 447-8000
- **Practice address fax:** (201) 291-6129
- **Mailing address:** 15 ESSEX RD, PARAMUS, NJ 07652-1451
- **Mailing address phone:** (201) 447-8000
- **Mailing address fax:** (201) 291-6129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 09/10/2010