Healthcare Provider Details
I. General information
NPI: 1346152055
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF METROPOLITAN NEW JERSEY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 DAYTON AVE
PASSAIC NJ
07055-7035
US
IV. Provider business mailing address
238 MULBERRY ST FL 1
NEWARK NJ
07102-3528
US
V. Phone/Fax
- Phone: 973-345-3883
- Fax: 973-622-0247
- Phone: 973-622-3900
- Fax: 973-345-4250
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VC0300X |
| Taxonomy | Complex Family Planning Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0005X |
| Taxonomy | Ambulatory Family Planning Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SOPHIA
LANA
BRYAN
Title or Position: SR. VICE PRESIDENT OF OPERATIONS
Credential:
Phone: 973-622-3900