Provider Demographics
NPI:1093460057
Name:NJ VIRTUAL HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:NJ VIRTUAL HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RASHIDAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JENIOUS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:908-759-6781
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-0561
Mailing Address - Country:US
Mailing Address - Phone:908-759-6781
Mailing Address - Fax:
Practice Address - Street 1:250 WOODBRIDGE CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095
Practice Address - Country:US
Practice Address - Phone:908-759-6781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty