Healthcare Provider Details

I. General information

NPI: 1417798364
Provider Name (Legal Business Name): ALEXANDER PIERCE OSTERMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 ANDERSON ST APT N3A
HACKENSACK NJ
07601-3547
US

IV. Provider business mailing address

971 US HIGHWAY 202 N # 4371
BRANCHBURG NJ
08876-3757
US

V. Phone/Fax

Practice location:
  • Phone: 551-427-5032
  • Fax:
Mailing address:
  • Phone: 551-427-5032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00989000
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: