Snfpsychprovider LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SNFPSYCHPROVIDER LLC

Practice address

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

Phone

(201) 687-7167

Fax

(201) 653-0917

NPI assigned

Jan 24, 2025

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, CRNA, MA, APN

Title

Director

Phone

(917) 597-0082

Specialties & licenses 1

Addresses

Other names 2

• snf psych provider Doing business as
• SNFPSYCHPROVIDER.COM Other name

Electronic endpoints 3

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

  • Clinical Pathology/Laboratory Medicine Physician
  • Jersey City, NJ
  • NPI 1740092634
  NPD tax ID

Locations

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1821800913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 BERGEN AVE STE 100",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064705",
            "telephone_number": "201-687-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BERGEN AVE 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 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "SILAO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-597-0082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA, MA, APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ADMIN@SNFPSYCHPROVIDER.COM",
            "affiliation": "N",
            "endpointDescription": "HEALTH INFORMATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HEALTH INFORMATION",
            "address_1": "751 Bergen Ave Ste 100",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073064705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@snfpsychprovider.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "address_1": "751 Bergen Ave Ste 100",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073064705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@snfpsychprovider.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "address_1": "751 Bergen Ave Ste 100",
            "city": "Jersey City",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "073064705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "snf psych provider",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SNFPSYCHPROVIDER.COM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert A Smith, LCADC
• Ryan Smith, BCBA
• Tatiana Smith, CD
• William Smith
• Snfpsychprovider
• Hee Young So, M.D
• Social Success Services, Inc.
• Social Work Practice for Resilience, LLC
• Sofia Sullivan SLP LLC
• Sofia Y Arain MD PC

• Psychiatric/Mental Health Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, 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 Jan 24, 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.