Healthcare Provider Details

I. General information

NPI: 1962211912
Provider Name (Legal Business Name): CHRISTIAN MERISCAR DNP, BA, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2025
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 RIVER ST STE 9
HOBOKEN NJ
07030-5990
US

IV. Provider business mailing address

221 RIVER ST STE 9
HOBOKEN NJ
07030-5990
US

V. Phone/Fax

Practice location:
  • Phone: 908-569-1524
  • Fax:
Mailing address:
  • Phone: 908-569-1524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15237500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: