Healthcare Provider Details

I. General information

NPI: 1922762426
Provider Name (Legal Business Name): ELAINE QUAYE MSN, APN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MAYOR GIBSON BLVD STE 606
NEWARK NJ
07102-4537
US

IV. Provider business mailing address

1555 MUNN AVE
HILLSIDE NJ
07205-1647
US

V. Phone/Fax

Practice location:
  • Phone: 201-822-1161
  • Fax:
Mailing address:
  • Phone: 862-218-4492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ01290300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NR20673700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: