Healthcare Provider Details

I. General information

NPI: 1740110352
Provider Name (Legal Business Name): LUMINARY PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HORIZON CENTER BLVD
HAMILTON NJ
08691-1910
US

IV. Provider business mailing address

100 HORIZON CENTER BLVD
HAMILTON NJ
08691-1910
US

V. Phone/Fax

Practice location:
  • Phone: 609-757-8631
  • Fax: 609-719-9094
Mailing address:
  • Phone: 609-757-8631
  • Fax: 609-719-9094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SUNIL D PATEL
Title or Position: MANAGING MEMBER
Credential: MSN, APRN, PMHNP-BC
Phone: 609-757-8631