Healthcare Provider Details

I. General information

NPI: 1396625547
Provider Name (Legal Business Name): TRISHA S ABRAHAM FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. TRISHA SAM JOSEPH

II. Dates (important events)

Enumeration Date: 09/06/2025
Last Update Date: 09/06/2025
Certification Date: 09/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 MORRIS AVE
SPRINGFIELD NJ
07081-1151
US

IV. Provider business mailing address

385 MORRIS AVE
SPRINGFIELD NJ
07081-1151
US

V. Phone/Fax

Practice location:
  • Phone: 973-379-2111
  • Fax:
Mailing address:
  • Phone: 973-379-2111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15393100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: