MRS. MIRYAM ANCI-JIMENEZ NURSE PRACTITIONER
NPI 1902634975
Nurse Practitioner - Family in West Orange, NJ

Active since July 22, 2024
796 NORTHFIELD AVE, WEST ORANGE, NJ 07052(973) 842-4272(732) 997-3022 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 8, 2024, Aug 6, 2024, Jul 22, 2024 (3 updates tracked since 2024).

About Mrs. Miryam Anci-jimenez Nurse Practitioner NPPES

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

MRS. MIRYAM ANCI-JIMENEZ NURSE PRACTITIONER (NPI 1902634975) is an individual family provider in West Orange, New Jersey, licensed in New Jersey (25NJ15164400) and active in the NPI registry since July 2024. She maintains a secondary practice location in Newfoundland.

NPPES Registry Identity

NPI1902634975
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MIRYAM ANCI-JIMENEZCredential: NURSE PRACTITIONER
Location Address796 NORTHFIELD AVEWest Orange, NJ 07052-1025
Mailing Address796 Northfield AveWest Orange, NJ 07052-1025 · (973) 842-4272 · Fax (732) 997-3022
Fax(732) 997-3022
Sole ProprietorNo
Enumeration DateJuly 22, 2024
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1902634975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 25NJ15164400
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 26NR18079700 (NJ)
796 NORTHFIELD AVE, West Orange, NJ 07052

Secondary Practice Location 1

Location 173 Oak Ridge RdNewfoundland, NJ 07435-1403 · Phone (973) 663-1143

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Infectious Disease)
796 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Durable Medical Equipment & Medical Supplies
796 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Eyewear Supplier
796 NORTHFIELD AVE
WEST ORANGE, NJ 07052

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 Miryam Anci-jimenez's NPI number?

The NPI number for Miryam Anci-jimenez is 1902634975. It was assigned to this individual provider in the NPPES registry on July 22, 2024.

Where is Miryam Anci-jimenez located?

Miryam Anci-jimenez practices at 796 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 842-4272.

What is Miryam Anci-jimenez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Miryam Anci-jimenez was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.