Active NPI
DVH NP in Psychiatry Services NJ LLC
- Psychiatric/Mental Health Nurse Practitioner
- Jersey City, NJ
National Provider Identifier
1104672617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DVH NP IN PSYCHIATRY SERVICES NJ LLC
- Practice address
- 111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724 - Phone
- (347) 573-9479
- Fax
- (347) 745-5913
- NPI assigned
- Apr 25, 2024
- Organization subpart
- Yes
- Parent organization
- DVH NP IN PSYCHIATRY SERVICES PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dustin Von Holten, NPP-BC
- Title
- Founder
- Phone
- (347) 573-9479
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
111 Town Square PL Ste 1201
Jersey City, NJ 07310-1724
Mailing address
2093 Philadelphia Pike # 7683
Claymont, DE 19703-2424
Phone (347) 573-9479
National Provider Directory
National Provider Directory- Part of
- DVH NP in Psychiatry Services PLLC
Locations
111 Town Square Pl
Ste 1201
Jersey City, NJ 07310
Phone (201) 293-8220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1104672617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2093 PHILADELPHIA PIKE # 7683",
"city": "CLAYMONT",
"state": "DE",
"postal_code": "197032424",
"telephone_number": "347-573-9479",
"fax_number": "347-745-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 TOWN SQUARE PL STE 1201",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073101724",
"telephone_number": "347-573-9479",
"fax_number": "347-745-5913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DVH NP IN PSYCHIATRY SERVICES NJ LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DVH NP IN PSYCHIATRY SERVICES PLLC",
"enumeration_date": "2024-04-25",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "VON HOLTEN",
"authorized_official_first_name": "DUSTIN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "347-573-9479",
"authorized_official_credential": "NPP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.