Individual provider Active NPI

Joel Pierre, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, NJ
National Provider Identifier
1235446006
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025271 Issued in PA
Practice address
53 Mountain Blvd Ste 200
Warren, NJ 07059-5699
Phone
(484) 202-0826
NPI assigned
Sep 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025271 PA Primary

Addresses

Primary practice location

53 Mountain Blvd Ste 200
Warren, NJ 07059-5699

Mailing address

53 Mountain Blvd Ste 200
Warren, NJ 07059-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818002521 NJ Practitioner - Nurse Practitioner 7810370178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP025271PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moriah Hope & Wellness Clinic, LLC Current Accepting new patients
Jericho Healthcare Psychiatric/Mental Health CurrentSince Apr 28, 2023 Accepting new patients
Care First Medical Group LLC CurrentSince Jul 1, 2022 Accepting new patients
New Jersey Cardiovascular Associates, LLC PastSince Feb 5, 2018 Accepting new patients

Locations

74 Brunswick Woods Dr
East Brunswick, NJ 08816
Phone (848) 200-1699

1182 Teaneck Rd
Ste 206
Teaneck, NJ 07666
Phone (201) 357-2715

53 Mountain Blvd
Ste 200
Warren, NJ 07059
Phone (484) 202-0826

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1235446006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MOUNTAIN BLVD STE 200",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MOUNTAIN BLVD STE 200",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070595699",
            "telephone_number": "484-202-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "JOEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

Verify at the official NPI Registry.