Provider Demographics
NPI:1962884791
Name:GEFEN, ARYAY
Entity type:Individual
Prefix:
First Name:ARYAY
Middle Name:
Last Name:GEFEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 MORRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1654
Mailing Address - Country:US
Mailing Address - Phone:732-284-1335
Mailing Address - Fax:
Practice Address - Street 1:15 SCHOOL RD E
Practice Address - Street 2:SUITE 2
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-2062
Practice Address - Country:US
Practice Address - Phone:732-866-9922
Practice Address - Fax:732-866-9970
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00575200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner