MEDICARE: REALM PSYCH

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

General Provider Information

NPI Number	:	1689513582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REALM PSYCH

Provider Business Mailing Address
First Line	:	106 APPLE ST
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-2669
Country	:	US
Telephone Number	:	908-696-3913
Fax Number	:	833-605-4359

Provider Business Practice Location Address
First Line	:	106 APPLE ST
Second Line	:
City	:	TINTON FALLS
State	:	NJ
Zip	:	07724-2669
Country	:	US
Telephone Number	:	908-696-3913
Fax Number	:	833-605-4359

Authorized Official
Title or Position	:	OWNER
Name	:	NAJA MORGAN
Credential	:	NP
Telephone Number	:	908-696-3913

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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