Healthcare Provider Details

I. General information

NPI: 1275946204
Provider Name (Legal Business Name): J.D. KURIS AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2014
Last Update Date: 06/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MINE ST
FLEMINGTON NJ
08822-1516
US

IV. Provider business mailing address

28 MINE ST
FLEMINGTON NJ
08822-1516
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-5551
  • Fax: 908-788-0019
Mailing address:
  • Phone: 908-788-5551
  • Fax: 908-788-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number222281242
License Number StateNJ

VIII. Authorized Official

Name: DR. JAY D KURIS
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 908-788-5551