Healthcare Provider Details

I. General information

NPI: 1336087501
Provider Name (Legal Business Name): GUY BADIO DNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 E RIDGEWOOD AVE
PARAMUS NJ
07652-3917
US

IV. Provider business mailing address

42 BROADWAY FL 12
NEW YORK NY
10004-1617
US

V. Phone/Fax

Practice location:
  • Phone: 929-430-5838
  • Fax:
Mailing address:
  • Phone: 929-430-5838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15577000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408360
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: