NEW JERSEY PSYCHMED LLC NPI 1427641703

NPI Information

  • NPI: 1427641703
  • Provider Name: NEW JERSEY PSYCHMED LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 31D2225491
  • Address: 16 BROOKWOOD DR
    MAPLEWOOD, NJ
    ZIP 07040
  • Phone: (908) 367-0589

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NPI Details

NEW JERSEY PSYCHMED LLC is a psychiatric/mental health nurse practitioner in Maplewood, NJ. NEW JERSEY PSYCHMED LLC NPI is 1427641703. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16 BROOKWOOD DR
MAPLEWOOD, NJ
ZIP 07040-905
Phone: (908) 367-0589

The provider's authorized official is Veronica Adeoye .
The authorized official title is Owner and has the following contact phone number (908) 367-0589.

The CLIA number assigned to this NPI record is 31D2225491 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 2/17/2021.

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
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse 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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