Individual provider · Type 1 NPI
Avraham Fisgus, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Brick, NJ
NPI number
1104779396
Active
Practice location
425 Jack Martin Blvd
Brick, NJ 08724-7732
Mailing address
36 Arosa Hl
Lakewood, NJ 08701-2134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ15527600 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1104779396
Avraham Fisgus, PMHNP-BC's National Provider Identifier is 1104779396, issued on Feb 17, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brick, NJ. The record was last updated on Feb 17, 2026.