=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265307755
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MS. ELLIANA DELEMO
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2025
-----------------------------------------------------
Last Update Date | 11/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 HERRONTOWN RD STE 100
-----------------------------------------------------
City | PRINCETON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08540-7716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-954-4592
-----------------------------------------------------
Fax | 973-954-4592
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 UNIVERSITY PLZ STE 408
-----------------------------------------------------
City | HACKENSACK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07601-6204
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-954-4592
-----------------------------------------------------
Fax | 973-954-4592
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 26NJ15416200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------