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ADULT INTEGRATED MEDICAL AND PSYCHIATRIC CARE CONSULT. NPI 1467129577


NPI Information

NPI: 1467129577
Provider Name: ADULT INTEGRATED MEDICAL AND PSYCHIATRIC CARE CONSULT.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
40 UNION AVENUE
SUITE 305
IRVINGTON, NJ
ZIP 07111
Phone: (862) 955-3234
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ADULT INTEGRATED MEDICAL AND PSYCHIATRIC CARE CONSULT. is an adult health nurse practitioner in Irvington, NJ. ADULT INTEGRATED MEDICAL AND PSYCHIATRIC CARE CONSULT. NPI is 1467129577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 UNION AVENUE
SUITE 305
IRVINGTON, NJ
ZIP 07111-290
Phone: (862) 955-3234
Fax: (862) 955-3265

The provider's authorized official is Francis M. Bongah .
The authorized official title is Advanced Practice Nurse. and has the following contact phone number (862) 955-3234.

The enumeration date for this NPI number is 8/26/2021 and was last updated on 8/26/2021.


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
1363LA2200XNurse PractitionerAdult 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: 5/5/2024

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