Healthcare Provider Details

I. General information

NPI: 1801738935
Provider Name (Legal Business Name): GARDEN STATE BILINGUAL PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 TAGGART WAY
SADDLE BROOK NJ
07663-4420
US

IV. Provider business mailing address

6 TAGGART WAY
SADDLE BROOK NJ
07663-4420
US

V. Phone/Fax

Practice location:
  • Phone: 917-330-7791
  • Fax: 917-764-4441
Mailing address:
  • Phone: 917-330-7791
  • Fax: 917-764-4441

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: MR. DEMETRIOS MILIOS
Title or Position: PSYCHIATRIC AND MENTAL HEALTH NURSE
Credential: NP
Phone: 917-330-7791