Healthcare Provider Details

I. General information

NPI: 1104769454
Provider Name (Legal Business Name): KEY2CONNECTION RELATIONSHIP HEALTH CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 WASHINGTON ST STE 307
HOBOKEN NJ
07030-4692
US

IV. Provider business mailing address

132 WASHINGTON ST STE 307
HOBOKEN NJ
07030-4692
US

V. Phone/Fax

Practice location:
  • Phone: 917-495-4989
  • Fax:
Mailing address:
  • Phone: 917-495-4989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: NATALIYA RUSETSKAYA
Title or Position: PRESIDENT
Credential: LCSW
Phone: 917-495-4989