Active NPIIndividual provider

Ms. Kelly Nussbaum, APRN

Clinical Nurse Specialist, Psych/Mental Health, Adult in Englewood, New Jersey

NPI Number1215229596
Practice location
163 Engle St Ste 4A, Englewood, NJ 07631-2530
Fax
800-352-3015
Last updated
May 5, 2011

Kelly Nussbaum is a Clinical Nurse Specialist, Psych/Mental Health, Adult based in Englewood, NJ. Kelly Nussbaum practices in Englewood, NJ and has the professional credentials of APRN. The NPI Number for Kelly Nussbaum is 1215229596 and holds a License No. 26NC07471600 (NJ). The current practice location address for Kelly Nussbaum is 163 Engle St Ste 4A, Englewood, NJ 07631-2530 and can be reached out via phone at 201-408-4487 and via fax at 800-352-3015.

Provider Profile Details

NPI Number
1215229596
Provider Name
Kelly Nussbaum
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
163 Engle St Ste 4A, Englewood, NJ 07631-2530
Phone Number
201-408-4487
Fax Number
800-352-3015
Sole Proprietor
No
Other Names
Ms. Kelly Nussbaum, RN (Former Name)
Provider Enumeration Date
May 5, 2011
Last Update Date
May 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
163 Engle St Ste 4A
Englewood, NJ 07631-2530
Zip
07631-2530
Phone Number
201-408-4487
Fax Number
800-352-3015
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
9 Ricker RD
Kinnelon, NJ 07405
City
Kinnelon
State
NJ
Zip
07405
Phone Number
973-838-8869

License Information

License Number
26NC07471600
License State
NJ

Legacy Identifiers

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

Other Clinical Nurse Specialist, Psych/Mental Health, Adult providers near Englewood, NJ

View all Clinical Nurse Specialist, Psych/Mental Health, Adult providers in Englewood →

Frequently Asked Questions

What is the NPI number of Ms. Kelly Nussbaum, APRN?

The NPI number of Ms. Kelly Nussbaum, APRN is 1215229596. It was assigned on May 5, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Kelly Nussbaum, APRN?

Ms. Kelly Nussbaum, APRN is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Adult (code 364SP0809X), licensed in NJ under license number 26NC07471600.

Where does Ms. Kelly Nussbaum, APRN practice?

The practice location is 163 Engle St Ste 4A, Englewood, NJ 07631-2530. The office can be reached at 201-408-4487 (phone) or 800-352-3015 (fax).

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 1215229596 directly on the NPPES registry website.

Browse related providers