| NPI | 1861074171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA THERESA RUBIN-SWELIM Nurse Practitioner/CEO 732-832-7817 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 133N00000X Nutritionist | |
| 163WC0400X Registered Nurse Case Management | |
| 163WN1003X Registered Nurse Nutrition Support | |
| 163WW0000X Registered Nurse Wound Care | |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |