Healthcare Provider Details

I. General information

NPI: 1801718929
Provider Name (Legal Business Name): DONNA PINK DNP, MA, RN, PMH-BC,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 BERGEN ST
NEWARK NJ
07103-2496
US

IV. Provider business mailing address

1268 BARBARA AVE
UNION NJ
07083-3830
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-1035
  • Fax:
Mailing address:
  • Phone: 646-295-7664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number26NR09790900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: