Provider Demographics
NPI:1275151961
Name:JHARAHY, NATACHA (AGPCNP-BC, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:NATACHA
Middle Name:
Last Name:JHARAHY
Suffix:
Gender:F
Credentials:AGPCNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:NATACHA
Other - Middle Name:
Other - Last Name:ORELIEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AGPCNP-BC, PMHNP-BC
Mailing Address - Street 1:2194 STECHER AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5252
Mailing Address - Country:US
Mailing Address - Phone:908-644-9036
Mailing Address - Fax:
Practice Address - Street 1:1401 NJ 17 NORTH
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07653
Practice Address - Country:US
Practice Address - Phone:908-644-9036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01040800363LP0808X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health