Healthcare Provider Details
I. General information
NPI: 1871815241
Provider Name (Legal Business Name): VALSAMMA JOY MSN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/25/2010
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
150 WASHINGTON AVE # 210
SANTA FE NM
87501-2073
US
IV. Provider business mailing address
1023 ARLINGTON RD
NEW MILFORD NJ
07646-3101
US
V. Phone/Fax
- Phone: 888-420-0589
- Fax: 201-646-3955
- Phone: 201-334-8700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 305335 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 26NJ00313800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: