Healthcare Provider Details

I. General information

NPI: 1710811799
Provider Name (Legal Business Name): ESSILFIE PSYCHIATRIC AND MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 PLEASANT VALLEY AVE # 631
MOUNT LAUREL NJ
08054-1210
US

IV. Provider business mailing address

921 PLEASANT VALLEY AVE # 631
MOUNT LAUREL NJ
08054-1210
US

V. Phone/Fax

Practice location:
  • Phone: 302-538-9296
  • Fax:
Mailing address:
  • Phone: 302-538-9296
  • 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: GABRIEL ESSILFIE JR.
Title or Position: PSYCHIATRIC MENTAL HEALTH NURSE PRA
Credential: NP
Phone: 856-558-2666