FUNCTIONAL MEDICINE CENTERS NPI 1487185401

NPI Information

NPI: 1487185401
Provider Name: FUNCTIONAL MEDICINE CENTERS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
481 HACKENSACK AVE
SUITE 2A
HACKENSACK, NJ
ZIP 07601
Phone: (201) 880-0685
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FUNCTIONAL MEDICINE CENTERS is a psychiatric/mental health nurse practitioner in Hackensack, NJ. FUNCTIONAL MEDICINE CENTERS NPI is 1487185401. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

481 HACKENSACK AVE
SUITE 2A
HACKENSACK, NJ
ZIP 07601-330
Phone: (201) 880-0685
Fax: (201) 342-4346

The provider's authorized official is Katrina Stevens .
The authorized official title is Office Supervisor and has the following contact phone number (201) 880-0685.

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00080100	NEW JERSEY	Yes

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: 11/14/2023

NPI Synchronization or Removal

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