Agave Medical Nj PC
Psychologist in Jersey City, New Jersey
1619859238- Practice location
- 359 5TH St Unit 3, Jersey City, NJ 07302-2329
- Phone
- 929-209-6109
- Fax
- —
- Last updated
- July 24, 2025
Agave Medical Nj PC is a healthcare organization based in Jersey City, NJ. Agave Medical Nj PC practices in Jersey City, NJ. The NPI Number for Agave Medical Nj PC is 1619859238. The current practice location address for Agave Medical Nj PC is 359 5TH St Unit 3, Jersey City, NJ 07302-2329 and can be reached out via phone at 929-209-6109.
Provider Profile Details
- NPI Number
- 1619859238
- Provider Name
- Agave Medical Nj PC
- Provider Entity Type
- Organization
- Address
- 359 5TH St Unit 3, Jersey City, NJ 07302-2329
- Phone Number
- 929-209-6109
- Primary Taxonomy
- Psychologist · 103T00000X
- Organization Subpart
- No
- Authorized Official
- Ori Fruhauf · Owner · 551-302-1794
- Provider Enumeration Date
- July 24, 2025
- Last Update Date
- July 24, 2025
- Certification Date
- July 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 359 5TH St Unit 3
Jersey City, NJ 07302-2329 - City
- Jersey City
- State
- New Jersey
- Zip
- 07302-2329
- Phone Number
- 929-209-6109
Provider Business Mailing Address Details
- Address
- 359 5TH St Unit 3
Jersey City, NJ 07302-2329 - City
- Jersey City
- State
- NJ
- Zip
- 07302-2329
License Information
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Charissa D. Pizarro, Psy. D. Psychological Services LLCPsychologist · NPI 1891657763
- Dr. Christina L Clemons, PHDPsychologist · NPI 1144080490
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- Dr. Vartika Mutha, PSYDPsychologist · NPI 1548701097
- Dr. Wendy Gonzalez-Canal, PHDPsychologist · NPI 1669066700
Frequently Asked Questions
What is the NPI number of Agave Medical Nj PC?
The NPI number of Agave Medical Nj PC is 1619859238. It was assigned on July 24, 2025 and is currently active in the NPPES registry.
What is the specialty of Agave Medical Nj PC?
Agave Medical Nj PC is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Agave Medical Nj PC practice?
The practice location is 359 5TH St Unit 3, Jersey City, NJ 07302-2329. The office can be reached at 929-209-6109 (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 1619859238 directly on the NPPES registry website.