DVH NP IN PSYCHIATRY SERVICES NJ LLC NPI 1104672617

NPI Information

  • NPI: 1104672617
  • Provider Name: DVH NP IN PSYCHIATRY SERVICES NJ LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 111 TOWN SQUARE PL STE 1201
    JERSEY CITY, NJ
    ZIP 07310
  • Phone: (347) 573-9479

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NPI Details

DVH NP IN PSYCHIATRY SERVICES NJ LLC is a psychiatric/mental health nurse practitioner in Jersey City, NJ. DVH NP IN PSYCHIATRY SERVICES NJ LLC NPI is 1104672617. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 TOWN SQUARE PL STE 1201
JERSEY CITY, NJ
ZIP 07310-724
Phone: (347) 573-9479
Fax: (347) 745-5913

The provider's authorized official is Dustin Von Holten .
The authorized official title is Founder and has the following contact phone number (347) 573-9479.

The enumeration date for this NPI number is 4/25/2024 and was last updated on 4/25/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 3/30/2025

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