Organization · Type 2 NPI

Dominion Health

Psychiatric/Mental Health Nurse Practitioner · Green Brook, NJ

NPI number 1235757485 Active

Practice location

933 N Washington Ave Ste 2C
Green Brook, NJ 08812-2600

Mailing address

245 Bayville Ave
Bayville, NJ 08721-1050

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

About NPI 1235757485

Dominion Health's National Provider Identifier is 1235757485, issued on Jul 13, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Green Brook, NJ. The record was last updated on Oct 26, 2026.