Healthcare Provider Details

I. General information

NPI: 1770445603
Provider Name (Legal Business Name): TERESIA NJOROGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 WASHINGTON ST UNIT 1140
MORRISTOWN NJ
07960-3931
US

IV. Provider business mailing address

18 AUTUMN DR
MINE HILL NJ
07803-2427
US

V. Phone/Fax

Practice location:
  • Phone: 973-657-5630
  • Fax:
Mailing address:
  • Phone: 862-432-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-86176
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: