| NPI | 1912678012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE TERRERO Sr Director Provider Data Mngmt 201-667-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 103T00000X Psychologist |
| 363L00000X Nurse Practitioner | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207YS0012X Otolaryngology, Sleep Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363A00000X Physician Assistant | |
| 106H00000X Marriage & Family Therapist | |
| 103TC1900X Psychologist, Counseling | |
| 101YM0800X Counselor, Mental Health | |
| 133V00000X Dietitian, Registered | |
| 207QS1201X Family Medicine, Sleep Medicine | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-10-31 |