MS. NERISA BRYAN MSN PMHNP NPI 1700532272

NPI Information

  • NPI: 1700532272
  • Provider Name: MS. NERISA BRYAN, MSN, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 BROAD ST STE 606
    NEWARK, NJ
    ZIP 07102
  • Phone: (201) 822-1161

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NPI Details

MS. Nerisa Bryan, MSN, PMHNP is a psychiatric/mental health nurse practitioner in Newark, NJ. MS. Nerisa Bryan, MSN, PMHNP NPI is 1700532272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

550 BROAD ST STE 606
NEWARK, NJ
ZIP 07102-537
Phone: (201) 822-1161
Fax: (877) 485-8918

The NPI 1700532272 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 2/7/2024.

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 HealthF404112-01NEW YORKNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health11018441FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health2022001290NEW JERSEYYes

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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