Mrs Naomi Tiefenbrunn, is a
Physician Assistant physician based in Lakewood, New Jersey. Mrs Naomi Tiefenbrunn is licensed to practice in New Jersey (license number 25MP00221700) and her current practice location is 1771 Madison Ave, Lakewood, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 364-2144.
NPI number for Mrs Naomi Tiefenbrunn is 1932346194 and her current mailing address is 1771 Madison Ave, Lakewood, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932346194.
Physician's Profile
| Full Name | Mrs Naomi Tiefenbrunn |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1771 Madison Ave, Lakewood, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932346194
- Provider Enumeration Date: 01/09/2009
- Last Update Date: 04/28/2023
Medical Identifiers
Medical identifiers for Mrs Naomi Tiefenbrunn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932346194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 25MP00210700 (New York) | Secondary |
| 363A00000X | Physician Assistant | 25MP00221700 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Naomi Tiefenbrunn is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Naomi Tiefenbrunn,
1771 Madison Ave,
Lakewood, NJ 08701-1242
Ph: (732) 364-2144 | Mrs Naomi Tiefenbrunn,
1771 Madison Ave,
Lakewood, NJ 08701-1242
Ph: (732) 364-2144 |
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