Active NPIIndividual provider

Avraham Fisgus, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Brick, New Jersey

NPI Number1104779396
Practice location
425 Jack Martin Blvd, Brick, NJ 08724-7732
Fax
—
Last updated
February 17, 2026

Avraham Fisgus is a Nurse Practitioner, Psych/Mental Health based in Brick, NJ. Avraham Fisgus practices in Brick, NJ and has the professional credentials of PMHNP-BC. The NPI Number for Avraham Fisgus is 1104779396 and holds a License No. 26NJ15527600 (NJ). The current practice location address for Avraham Fisgus is 425 Jack Martin Blvd, Brick, NJ 08724-7732 and can be reached out via phone at 732-840-2200.

Provider Profile Details

NPI Number
1104779396
Provider Name
Avraham Fisgus
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
425 Jack Martin Blvd, Brick, NJ 08724-7732
Phone Number
732-840-2200
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2026
Last Update Date
February 17, 2026
Certification Date
February 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
425 Jack Martin Blvd
Brick, NJ 08724-7732
City
Brick
Zip
08724-7732
Phone Number
732-840-2200
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
36 Arosa Hl
Lakewood, NJ 08701-2134
City
Lakewood
State
NJ
Zip
08701-2134

License Information

License Number
26NJ15527600
License State
NJ
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Avraham Fisgus, PMHNP-BC?

The NPI number of Avraham Fisgus, PMHNP-BC is 1104779396. It was assigned on February 17, 2026 and is currently active in the NPPES registry.

What is the specialty of Avraham Fisgus, PMHNP-BC?

Avraham Fisgus, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ15527600.

Where does Avraham Fisgus, PMHNP-BC practice?

The practice location is 425 Jack Martin Blvd, Brick, NJ 08724-7732. The office can be reached at 732-840-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104779396 directly on the NPPES registry website.

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