Healthcare Provider Details

I. General information

NPI: 1679157846
Provider Name (Legal Business Name): HEALTH ESSENTIALS PLUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2021
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 DOUGLAS RD
GLEN RIDGE NJ
07028-1107
US

IV. Provider business mailing address

38 DOUGLAS RD
GLEN RIDGE NJ
07028-1107
US

V. Phone/Fax

Practice location:
  • Phone: 973-393-2231
  • Fax:
Mailing address:
  • Phone: 973-393-2231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER VALERIAN
Title or Position: OWNER
Credential:
Phone: 973-393-2231