Individual provider Active NPI

Vanessa Doobay

  • Psychiatric/Mental Health Nurse Practitioner
  • Union, NJ
National Provider Identifier
1689449548
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ14961900 Issued in NJ
Practice address
1767 Morris Ave Ste 303B
Union, NJ 07083-3511
Phone
(862) 218-2616
NPI assigned
Nov 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 14189722-4405 UT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ14961900 NJ Primary

Addresses

Primary practice location

1767 Morris Ave Ste 303B
Union, NJ 07083-3511

Mailing address

1767 Morris Ave Ste 303B
Union, NJ 07083-3511
Phone (862) 218-2616

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
I20240426000090 NJ Practitioner - Nurse Practitioner 0749620615 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14189722-4405UTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Light Mental Health and Addiction Services L.L.C Single Specialty CurrentSince Nov 4, 2025 Accepting new patients
Gold Standard Medical Group PC Single Specialty CurrentSince Mar 20, 2024 Accepting new patients
Grow Healthcare Group of New Jersey PC Single Specialty CurrentSince Apr 15, 2025 Accepting new patients
Mind Harbor Psychiatric Services LLC Single Specialty CurrentSince Oct 11, 2024 Accepting new patients

Locations

992 Clifton Ave
Clifton, NJ 07013
Phone (201) 839-5016

1136 Clifton Ave
#2
Clifton, NJ 07013
Phone (862) 249-1266

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1767 Morris Ave
Ste 303B
Union, NJ 07083
Phone (908) 488-6003

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": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1689449548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 MORRIS AVE STE 303B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833511",
            "telephone_number": "862-218-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 MORRIS AVE STE 303B",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833511",
            "telephone_number": "862-218-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOBAY",
        "first_name": "VANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "14189722-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ14961900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.