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REANNA SADE LIZARDO
NPI 1417600438
Student in an Organized Health Care Education/Training Program in Nutley, NJ

Active since January 31, 2022
340 KINGSLAND ST, NUTLEY, NJ 07110(973) 761-9000 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reanna Sade Lizardo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REANNA SADE LIZARDO (NPI 1417600438) is an individual student in an organized health care education/training program in Nutley, New Jersey and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1417600438
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameREANNA SADE LIZARDO
Location Address340 KINGSLAND STNutley, NJ 07110-1150
Mailing Address376 E 8th St Apt C6Brooklyn, NY 11218-4258 · (347) 554-0691
Phone(973) 761-9000
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 27, 2022
✔ NPI 1417600438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
340 KINGSLAND ST, Nutley, NJ 07110
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAHMOUD LOGHMAN-ADHAM M.D.
Pediatrics (Pediatric Nephrology)
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (973) 562-2127
DR. JACOB ZEFFREN MD
Internal Medicine (Medical Oncology)
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (973) 562-3548
MICHAEL ROBERTS
Specialist/Technologist (Athletic Trainer)
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (914) 380-0163
THOMAS PETER BRIDGE MD
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
340 KINGSLAND ST, 1 4C40
NUTLEY, NJ 07110
Essex County (973) 562-6580
DAVID MARTIN MUSSELMAN M.D.
General Practice
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (973) 235-3163
YELTSIE VOLCY
Student in an Organized Health Care Education/Training Program
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (973) 761-9306
RANDI BLITZER
Student in an Organized Health Care Education/Training Program
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (973) 761-9000
AL-JATHIYAH BURGESS
Student in an Organized Health Care Education/Training Program
340 KINGSLAND ST
NUTLEY, NJ 07110
Essex County (973) 761-9306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Reanna Lizardo's NPI number?

The NPI number for Reanna Lizardo is 1417600438. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Reanna Lizardo located?

Reanna Lizardo practices at 340 Kingsland St, Nutley, NJ 07110. The listed phone number is (973) 761-9000.

What is Reanna Lizardo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Reanna Lizardo was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.