Healthcare Provider Details

I. General information

NPI: 1538083977
Provider Name (Legal Business Name): SEA OF SERENITY PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CARNEGIE CTR STE 150-440
PRINCETON NJ
08540-6249
US

IV. Provider business mailing address

300 CARNEGIE CTR STE 150-440
PRINCETON NJ
08540-6249
US

V. Phone/Fax

Practice location:
  • Phone: 609-981-3052
  • Fax: 609-981-3053
Mailing address:
  • Phone: 609-981-3052
  • Fax: 609-981-3053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. SANA AHMED
Title or Position: OWNER
Credential: MSN,AGNP-C, PMHNP-BC
Phone: 201-212-0667