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Agave Medical Nj PC — NPI 1619859238, Jersey City, NJ | NPI Central

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NPI 1619859238

OrganizationActive

Agave Medical Nj PC

NPI 1619859238 · Psychologist · Jersey City, NJ

Provider details

NPI number: 1619859238
Entity type: Organization
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Ori Fruhauf, Owner(551) 302-1794

Specialties & taxonomies

PsychologistPrimary103T00000X
Behavioral Health & Social Service Providers
Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities

Practice location

359 5th St Unit 3

Jersey City, NJ 07302-2329

Phone: (929) 209-6109

Approximate (ZIP-level) locationGet directions

More NJ providers

Mailing address

359 5th St Unit 3

Jersey City, NJ 07302-2329

Registry dates

Enumerated: 2025-07-24
Last updated: 2025-07-24
Certified: 2025-07-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.