Healthcare Provider Details

I. General information

NPI: 1659214575
Provider Name (Legal Business Name): ARIANNA MOHAMED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SYLVAN AVE STE 101A
ENGLEWOOD CLIFFS NJ
07632-2560
US

IV. Provider business mailing address

187 HIGHWAY 36 STE 230
WEST LONG BRANCH NJ
07764-1306
US

V. Phone/Fax

Practice location:
  • Phone: 201-945-6564
  • Fax:
Mailing address:
  • Phone: 732-702-1039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ15521000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: