Organization Active NPI

Auroura Health & Aesthetics

  • Psychiatric/Mental Health Nurse Practitioner
  • Paterson, NJ
National Provider Identifier
1124553557
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
AUROURA HEALTH & AESTHETICS
Practice address
318 21St Ave
Paterson, NJ 07501-3538
Phone
(201) 233-2999
NPI assigned
Apr 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Intisar Ibrahim, DNP, FNP-C, PNHNP-BCNPI 1912335191
Title
Owner
Phone
(201) 233-2999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

318 21St Ave
Paterson, NJ 07501-3538

Mailing address

35 Ramella Ave
Moonachie, NJ 07074-1105
Phone (201) 233-2999

Other names 1

  • Auroura Comprehensive Health, psychiatry & Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1124553557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RAMELLA AVE",
            "city": "MOONACHIE",
            "state": "NJ",
            "postal_code": "070741105",
            "telephone_number": "201-233-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 21ST AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075013538",
            "telephone_number": "201-233-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUROURA HEALTH & AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "INTISAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-233-2999",
        "authorized_official_credential": "DNP, FNP-C, PNHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auroura Comprehensive Health, psychiatry & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.