Healthcare Provider Details

I. General information

NPI: 1750246278
Provider Name (Legal Business Name): JOHN BRANDI MS., P.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 S SPRUCE ST
RAMSEY NJ
07446-2549
US

IV. Provider business mailing address

PO BOX 408
CONVENT STATION NJ
07961-0408
US

V. Phone/Fax

Practice location:
  • Phone: 201-588-3491
  • Fax:
Mailing address:
  • Phone: 73-222-1631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number01352894
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: