Healthcare Provider Details
I. General information
NPI: 1316729114
Provider Name (Legal Business Name): V&J CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2023
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 UNIVERSITY PLAZA, DR SUITE 100 #63
HACKENSACK NJ
07601
US
IV. Provider business mailing address
1023 ARLINGTON RD
NEW MILFORD NJ
07646-3101
US
V. Phone/Fax
- Phone: 201-914-0063
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
VALSAMMA
JOY
Title or Position: OWNER
Credential: NP
Phone: 201-334-8700