OrganizationActive
Adult Integrated Medical and Psychiatric Care Consult.
NPI 1467129577 · Adult Health Nurse Practitioner · Irvington, NJ
Provider details
- NPI number
- 1467129577
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Francis Bongah, Advanced Practice Nurse.(862) 955-3234
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
40 Union Avenue
Suite 305
Irvington, NJ 07111-3290
Phone: (862) 955-3234
Fax: (862) 955-3265
Approximate (ZIP-level) locationGet directions
Mailing address
20 Coolidge Street
Irvington, NJ 07111-1108
Registry dates
- Enumerated
- 2021-08-26
- Last updated
- 2021-08-26
- Certified
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.