Healthcare Provider Details

I. General information

NPI: 1386551075
Provider Name (Legal Business Name): AMY AZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY HANNA AZER

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CRAIG RD STE 220
MANALAPAN NJ
07726-8731
US

IV. Provider business mailing address

3 ST JAMES ST
MONROE NJ
08831-8681
US

V. Phone/Fax

Practice location:
  • Phone: 732-913-0033
  • Fax:
Mailing address:
  • Phone: 732-484-1437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00985700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: