Snfpsychprovider

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

SNFPSYCHPROVIDER

Practice address

751 Bergen Ave
Ste 100
Jersey City, NJ 07306-4705

Phone

(201) 687-7167

Fax

(201) 653-0917

NPI assigned

Jan 27, 2025

Last updated

Jan 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Silao, APN

Title

Coordinator

Phone

(201) 687-7167

Specialties & licenses 1

Addresses

Tax ID family

SNF Psych Provider2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Snfpsychprovider LLC

  dba snf psych provider

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1821800913
  NPD tax ID

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1740092634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BERGEN AVE",
            "address_2": "STE 100",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-687-7167",
            "fax_number": "201-653-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BERGEN AVE",
            "address_2": "STE 100",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-687-7167",
            "fax_number": "201-653-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNFPSYCHPROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "SILAO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "201-687-7167",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Marie Smith, PTA
• Robert A Smith, LCADC
• Ryan Smith, BCBA
• Tatiana Smith, CD
• William Smith
• Snfpsychprovider LLC (snf psych provider)
• Hee Young So, M.D
• Social Success Services, Inc.
• Social Work Practice for Resilience, LLC
• Sofia Sullivan SLP LLC

• Clinical Pathology/Laboratory Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Clinical Pathology/Laboratory Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.