Provider Demographics
NPI:1053177550
Name:INNERPEACE HEALTH SERVICES LLC
Entity type:Organization
Organization Name:INNERPEACE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCOIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:NGUETSOP
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:973-204-6545
Mailing Address - Street 1:419 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-6043
Mailing Address - Country:US
Mailing Address - Phone:973-204-6545
Mailing Address - Fax:
Practice Address - Street 1:454 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1158
Practice Address - Country:US
Practice Address - Phone:908-312-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty