Healthcare Provider Details

I. General information

NPI: 1336244227
Provider Name (Legal Business Name): MONA WILLIAMS - GREGORY APN,
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 07/05/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 KILMER RD UNIT A114
EDISON NJ
08817-2432
US

IV. Provider business mailing address

6 KILMER RD UNIT A114
EDISON NJ
08817-2432
US

V. Phone/Fax

Practice location:
  • Phone: 908-720-9191
  • Fax: 845-999-3661
Mailing address:
  • Phone: 908-720-9191
  • Fax: 845-999-3661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP027974
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00112400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ00112400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: