Provider Demographics
NPI:1154116606
Name:GRUSHKIN, DENA
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:
Last Name:GRUSHKIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 BELLE AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-2533
Mailing Address - Country:US
Mailing Address - Phone:201-314-6649
Mailing Address - Fax:
Practice Address - Street 1:890 BELLE AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-2533
Practice Address - Country:US
Practice Address - Phone:201-314-6649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula