Healthcare Provider Details

I. General information

NPI: 1457213126
Provider Name (Legal Business Name): MARGARET ANNE ELIZABETH OHANIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 FOREST DR
BLOOMFIELD NJ
07003-5207
US

IV. Provider business mailing address

15 FOREST DR
BLOOMFIELD NJ
07003-5207
US

V. Phone/Fax

Practice location:
  • Phone: 551-224-5522
  • Fax:
Mailing address:
  • Phone: 551-224-5522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC01183900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: