Healthcare Provider Details

I. General information

NPI: 1033384631
Provider Name (Legal Business Name): FIORELLA PARADISI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 DAVIS RD
SPARTA NJ
07871-3302
US

IV. Provider business mailing address

17 DAVIS RD
SPARTA NJ
07871-3302
US

V. Phone/Fax

Practice location:
  • Phone: 201-727-3241
  • Fax:
Mailing address:
  • Phone: 212-545-2438
  • Fax: 646-312-0481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number401807
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00634600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number581048-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: