Healthcare Provider Details

I. General information

NPI: 1689498297
Provider Name (Legal Business Name): FRITZ STEVEN TAPLEY PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CENTRAL AVE
EAST ORANGE NJ
07018-2819
US

IV. Provider business mailing address

800 AVENUE A
BAYONNE NJ
07002-1946
US

V. Phone/Fax

Practice location:
  • Phone: 973-414-6810
  • Fax: 973-414-6730
Mailing address:
  • Phone: 646-683-9440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15202700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: