Healthcare Provider Details

I. General information

NPI: 1710558481
Provider Name (Legal Business Name): MONICA ARIYO DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2021
Last Update Date: 04/15/2024
Certification Date: 04/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 PARKWAY AVE UNIT 2
EWING NJ
08618-2704
US

IV. Provider business mailing address

795 PARKWAY AVE STE A2
EWING NJ
08618-2704
US

V. Phone/Fax

Practice location:
  • Phone: 862-781-3499
  • Fax: 862-781-3501
Mailing address:
  • Phone: 862-781-3499
  • Fax: 862-781-3501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ01181700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: