Individual
DR. MARYELENA VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PHD, RN
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Mailing address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
26NO09190800
NJ
163WL0100X
Lactation Consultant (Registered Nurse)
533603
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ00825800
NJ
Other
Enumeration date
06/28/2015
Last updated
02/27/2026
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