Provider Demographics
NPI:1104999564
Name:PARTNERS FOR CONTINENCE LLC
Entity type:Organization
Organization Name:PARTNERS FOR CONTINENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:973-635-4088
Mailing Address - Street 1:30 INWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1808
Mailing Address - Country:US
Mailing Address - Phone:973-635-4088
Mailing Address - Fax:
Practice Address - Street 1:30 INWOOD CIR
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1808
Practice Address - Country:US
Practice Address - Phone:973-635-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN63123363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS66494Medicare UPIN