Healthcare Provider Details

I. General information

NPI: 1821924861
Provider Name (Legal Business Name): SIMENA CAREY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLZ STE 301
HACKENSACK NJ
07601-6224
US

IV. Provider business mailing address

90 TIFFANY BLVD APT 174
NEWARK NJ
07104-2443
US

V. Phone/Fax

Practice location:
  • Phone: 201-975-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00799600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: