Mr Laurence Alfred Chua Crisostomo, RN - Registered Nurse in Bergenfield, NJ

Mr Laurence Alfred Chua Crisostomo, RN is a Registered Nurse based in Bergenfield, New Jersey. Mr Laurence Alfred Chua Crisostomo is licensed to practice in New York (license number 690538-1) and his current practice location is 100 N Washington Ave, Bergenfield, New Jersey. He can be reached at his office (for appointments etc.) via phone at (201) 989-2863.

NPI number for Mr Laurence Alfred Chua Crisostomo is 1124491782 and his current mailing address is 100 N Washington Ave, Bergenfield, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124491782.

Contact Information

Mr Laurence Alfred Chua Crisostomo, RN
100 N Washington Ave,
Bergenfield, NJ 07621-1719
(201) 989-2863
Not Available

Map and Direction




Provider's Profile

Full NameMr Laurence Alfred Chua Crisostomo
GenderMale
SpecialityRegistered Nurse
Location100 N Washington Ave, Bergenfield, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124491782
  • Provider Enumeration Date: 11/04/2015
  • Last Update Date: 11/04/2015

Medical Identifiers

Medical identifiers for Mr Laurence Alfred Chua Crisostomo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124491782NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 690538-1 (New York)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. Mr Laurence Alfred Chua Crisostomo 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 AddressPractice Location Address
Mr Laurence Alfred Chua Crisostomo, RN
100 N Washington Ave,
Bergenfield, NJ 07621-1719

Ph: (201) 989-2863
Mr Laurence Alfred Chua Crisostomo, RN
100 N Washington Ave,
Bergenfield, NJ 07621-1719

Ph: (201) 989-2863

Reviews and Comments


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