Healthcare Provider Details

I. General information

NPI: 1285538959
Provider Name (Legal Business Name): FINNI MEDICAL NJ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 BATAAN MEMORIAL W
LAS CRUCES NM
88012-5012
US

IV. Provider business mailing address

3415 BATAAN MEMORIAL W
LAS CRUCES NM
88012-5012
US

V. Phone/Fax

Practice location:
  • Phone: 647-828-4133
  • Fax:
Mailing address:
  • Phone: 647-828-4133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARK SHEN
Title or Position: OWNER
Credential: MD
Phone: 647-828-4133