Active NPI
Denn'S Room Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1275360950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DENN'S ROOM PSYCHIATRY
- Practice address
- 1250 Broadway FL 36
New York, NY 10001-3709 - Phone
- (347) 201-0611
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gaelle Dennery, PMHNP
- Title
- Owner
- Phone
- (472) 010-6113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1250 Broadway FL 36
New York, NY 10001-3709
Mailing address
338 Van Nostrand Ave
Jersey City, NJ 07305-1309
Phone (347) 201-0611
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1275360950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 VAN NOSTRAND AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073051309",
"telephone_number": "347-201-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 BROADWAY FL 36",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013709",
"telephone_number": "347-201-0611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENN'S ROOM PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A",
"authorized_official_last_name": "DENNERY",
"authorized_official_first_name": "GAELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "472-010-6113",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.