Provider Demographics
NPI:1427328277
Name:USINOWICZ, ELVIRA (APN,C)
Entity type:Individual
Prefix:MRS
First Name:ELVIRA
Middle Name:
Last Name:USINOWICZ
Suffix:
Gender:F
Credentials:APN,C
Other - Prefix:MRS
Other - First Name:VERA
Other - Middle Name:
Other - Last Name:USINOWICZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APN,C
Mailing Address - Street 1:223 N VAN DIEN AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2726
Mailing Address - Country:US
Mailing Address - Phone:201-447-8000
Mailing Address - Fax:201-447-8257
Practice Address - Street 1:223 N VAN DIEN AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2726
Practice Address - Country:US
Practice Address - Phone:201-447-8000
Practice Address - Fax:201-447-8257
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC09245500364SC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCritical Care Medicine