Healthcare Provider Details

I. General information

NPI: 1568354132
Provider Name (Legal Business Name): CAVENE FACEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1195 RIPPLE AVE
MANAHAWKIN NJ
08050-2248
US

IV. Provider business mailing address

1195 RIPPLE AVE
MANAHAWKIN NJ
08050-2248
US

V. Phone/Fax

Practice location:
  • Phone: 732-618-2820
  • Fax:
Mailing address:
  • Phone: 732-618-2820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number26NJ15368700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: