Active NPI
Tanisha Esannason
- Marriage & Family Therapist
- Clifton, NJ
National Provider Identifier
1245957315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37FA00026400
- Practice address
- 377 Valley Rd Ste 2636
Clifton, NJ 07013-1319 - Phone
- (908) 845-3506
- NPI assigned
- Oct 20, 2022
- Last updated
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FA00026400 | NJ | Primary |
Addresses
Primary practice location
377 Valley Rd Ste 2636
Clifton, NJ 07013-1319
Mailing address
PO Box 200272
Newark, NJ 07102-0305
Phone (908) 845-3506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FA00026400 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1245957315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200272",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071020305",
"telephone_number": "908-845-3506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 VALLEY RD STE 2636",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070131319",
"telephone_number": "908-845-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESANNASON",
"first_name": "TANISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-20",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37FA00026400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.