Provider Demographics
NPI:1689301228
Name:VENTURA, SONGYI REBECCA (APN)
Entity type:Individual
Prefix:
First Name:SONGYI REBECCA
Middle Name:
Last Name:VENTURA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 GREENVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-2608
Mailing Address - Country:US
Mailing Address - Phone:201-333-8222
Mailing Address - Fax:201-333-0095
Practice Address - Street 1:26 GREENVILLE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-2608
Practice Address - Country:US
Practice Address - Phone:201-333-8222
Practice Address - Fax:201-333-0095
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01353700363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0871737Medicaid
NJ26NR17869300OtherNEW JERSEY BOARD OF NURSING