Healthcare Provider Details

I. General information

NPI: 1285598367
Provider Name (Legal Business Name): WILLIAMS SERENE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 DECATUR AVE
MIDDLESEX NJ
08846-2323
US

IV. Provider business mailing address

604 DECATUR AVE
MIDDLESEX NJ
08846-2323
US

V. Phone/Fax

Practice location:
  • Phone: 732-856-2277
  • Fax:
Mailing address:
  • Phone: 732-856-2277
  • Fax:

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: SANDY WILLIAMS
Title or Position: PMHNP PRIVATE PRACTICE
Credential: PMHNP
Phone: 732-856-2277