Eitan Fabia

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15431200 Issued in NJ

Practice address

745 Route 202/206 Ste 304
Bridgewater, NJ 08807-1758

Phone

(973) 954-4592

Fax

(973) 954-4592

NPI assigned

Sep 26, 2025

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1295608107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY PLZ STE 408",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016204",
            "telephone_number": "973-954-4592",
            "fax_number": "973-954-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ROUTE 202/206 STE 304",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088071758",
            "telephone_number": "973-954-4592",
            "fax_number": "973-954-4592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 W Main St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Freehold",
            "state": "NJ",
            "postal_code": "077284832",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "fax_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Apple St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Tinton Falls",
            "state": "NJ",
            "postal_code": "077242670",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "fax_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Herrontown Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "085407716",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "fax_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "517 Route 1 S Ste 1109",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088303011",
            "country_code": "US",
            "telephone_number": "973-954-4592",
            "fax_number": "973-954-4592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABIA",
        "first_name": "EITAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15431200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.