Organization Active NPI

Kavaris LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hackettstown, NJ
National Provider Identifier
1841955523
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KAVARIS LLC
Practice address
470 Schooleys Mountain Rd Ste 153
Hackettstown, NJ 07840-4012
Phone
(908) 509-8016
NPI assigned
Nov 8, 2021
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Esohe Obasohan
Title
Owner
Phone
(908) 509-8016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

470 Schooleys Mountain Rd Ste 153
Hackettstown, NJ 07840-4012

Mailing address

470 Schooleys Mountain Rd Ste 153
Hackettstown, NJ 07840-4012
Phone (908) 509-8016

National Provider Directory

National Provider Directory

Locations

470 Schooleys Mountain Rd
Ste 153
Hackettstown, NJ 07840
Phone (908) 416-0848

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1841955523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SCHOOLEYS MOUNTAIN RD STE 153",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404012",
            "telephone_number": "908-509-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SCHOOLEYS MOUNTAIN RD STE 153",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078404012",
            "telephone_number": "908-509-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAVARIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "OBASOHAN",
        "authorized_official_first_name": "ESOHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-509-8016"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.