MEDICARE: NATALIE V FARQUHARSON 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	F40955	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	26NJ15313500	NJ

General Provider Information

NPI Number	:	1457145112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE V FARQUHARSON PMHNP-BC

Provider Business Mailing Address
First Line	:	3000 HADLEY RD STE 303
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	732-479-7960
Fax Number	:	732-399-9395

Provider Business Practice Location Address
First Line	:	3000 HADLEY RD STE 303
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-1183
Country	:	US
Telephone Number	:	732-479-7960
Fax Number	:	732-399-9395

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

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	04/06/2026

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