Healthcare Provider Details

I. General information

NPI: 1275151961
Provider Name (Legal Business Name): NATACHA JHARAHY AGPCNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NATACHA ORELIEN AGPCNP-BC, PMHNP-BC

II. Dates (important events)

Enumeration Date: 07/08/2020
Last Update Date: 03/08/2023
Certification Date: 03/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 NJ 17 NORTH
PARAMUS NJ
07653
US

IV. Provider business mailing address

2194 STECHER AVE
UNION NJ
07083-5252
US

V. Phone/Fax

Practice location:
  • Phone: 908-644-9036
  • Fax:
Mailing address:
  • Phone: 908-644-9036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ01040800
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number26NJ01040800
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: