ELITE NU DIAMOND INC. NPI 1063939908

NPI Information

  • NPI: 1063939908
  • Provider Name: ELITE NU DIAMOND, INC.
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 15 BRINKERHOFF ST
    JERSEY CITY, NJ
    ZIP 07304
  • Phone: (201) 654-4530

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NPI Details

ELITE NU DIAMOND, INC. is a mental health (including community mental health center) clinic center in Jersey City, NJ. ELITE NU DIAMOND, INC. NPI is 1063939908. The provider is registered as an organization entity type.

The provider's business location address is:

15 BRINKERHOFF ST
JERSEY CITY, NJ
ZIP 07304-922
Phone: (201) 654-4530

The provider's authorized official is Ayeisha C Robinson .
The authorized official title is Executive Director and has the following contact phone number (908) 456-6687.

The enumeration date for this NPI number is 8/22/2017 and was last updated on 8/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100000000000000000000MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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