Healthcare Provider Details

I. General information

NPI: 1871815241
Provider Name (Legal Business Name): VALSAMMA JOY MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2010
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 UNIVERSITY PLAZA DR. SUITE#100
HACKENSACK NJ
07601
US

IV. Provider business mailing address

1023 ARLINGTON RD
NEW MILFORD NJ
07646-3101
US

V. Phone/Fax

Practice location:
  • Phone: 201-914-0063
  • Fax: 201-971-4519
Mailing address:
  • Phone: 201-334-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number305335
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00313800
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: