Basic Information
| Provider Information | |||||||||
| NPI: | 1407296403 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FACELLA-SCHEUER | ||||||||
| FirstName: | TARYN | ||||||||
| MiddleName: | LEIGH | ||||||||
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| Credential: | APN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13 GARDEN PL | ||||||||
| Address2: | |||||||||
| City: | POMPTON PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074441409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2019195982 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 13 GARDEN PL | ||||||||
| Address2: | |||||||||
| City: | POMPTON PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 074441409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5519964466 | ||||||||
| FaxNumber: | 5519960969 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2013 | ||||||||
| LastUpdateDate: | 05/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 26NJ00439100 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.