Healthcare Provider Details

I. General information

NPI: 1013749506
Provider Name (Legal Business Name): EPAGGELIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 TOWN SQUARE PL STE 1238 PMB 219213
JERSEY CITY NJ
07310-1810
US

IV. Provider business mailing address

111 TOWN SQUARE PL STE 1238
JERSEY CITY NJ
07310-1810
US

V. Phone/Fax

Practice location:
  • Phone: 908-505-5851
  • Fax:
Mailing address:
  • Phone: 908-505-5851
  • Fax: 551-202-7550

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: DR. ANNECIE BARRIERE
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 908-505-5851