Individual
LUIS A. FEBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
99 GORGE RD APT 1908, EDGEWATER, NJ 07020-1726
(201) 464-6147
(201) 462-3899
Mailing address
99 GORGE RD APT 1908, EDGEWATER, NJ 07020-1726
(201) 464-6147
(201) 462-3899
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00151600
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00151600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141480
MEDICARE PTAN
NJ
Enumeration date
03/07/2008
Last updated
11/20/2025
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