| NPI | 1285569798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN VITUG Owner 973-298-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2026-06-16 |
| Last Update Date | 2026-06-16 |