MEDICARE: STEPHANIE ALTEMA PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15193900	NJ

General Provider Information

NPI Number	:	1073327953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE ALTEMA PMHNP-BC

Provider Business Mailing Address
First Line	:	2810 MORRIS AVE STE 201
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4841
Country	:	US
Telephone Number	:	908-991-2253
Fax Number	:	844-440-2119

Provider Business Practice Location Address
First Line	:	2810 MORRIS AVE STE 201
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4841
Country	:	US
Telephone Number	:	908-991-2253
Fax Number	:	844-440-2119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	06/08/2026

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