MEDICARE: VILEOWA MENTAL HEALTH SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1366310542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILEOWA MENTAL HEALTH SERVICES PC

Provider Business Mailing Address
First Line	:	1549 SPRINGFIELD AVE
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-2413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1549 SPRINGFIELD AVE
Second Line	:
City	:	MAPLEWOOD
State	:	NJ
Zip	:	07040-2413
Country	:	US
Telephone Number	:	717-716-7107
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NABEEL BABAR
Credential	:
Telephone Number	:	646-687-2838

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	10/28/2025

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