Provider Demographics
NPI:1295961076
Name:IDEAL RNFA
Entity type:Organization
Organization Name:IDEAL RNFA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RNFA
Authorized Official - Prefix:
Authorized Official - First Name:SANTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTYKA-LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CNOR, RNFA
Authorized Official - Phone:973-270-8455
Mailing Address - Street 1:6 ROCKRIDGE TER
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-4448
Mailing Address - Country:US
Mailing Address - Phone:973-270-8455
Mailing Address - Fax:973-328-0120
Practice Address - Street 1:6 ROCKRIDGE TER
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-4448
Practice Address - Country:US
Practice Address - Phone:973-270-8455
Practice Address - Fax:973-328-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty