Individual
MS. NATALYA DIZENGOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., F.N.P.
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753
(732) 897-3600
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
612141-1
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ01290900
NJ
363LF0000X
Family Nurse Practitioner
F340393-1
NY
Other
Enumeration date
10/17/2016
Last updated
07/21/2026
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