Healthcare Provider Details

I. General information

NPI: 1073327953
Provider Name (Legal Business Name): STEPHANIE ALTEMA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 MORRIS AVE STE 201
UNION NJ
07083-4841
US

IV. Provider business mailing address

2810 MORRIS AVE STE 201
UNION NJ
07083-4841
US

V. Phone/Fax

Practice location:
  • Phone: 908-991-2253
  • Fax: 844-440-2119
Mailing address:
  • Phone: 908-991-2253
  • Fax: 844-440-2119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ15193900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: