Provider Demographics
NPI:1952995938
Name:TRINITY PSYCHIATRY AND MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:TRINITY PSYCHIATRY AND MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:
Authorized Official - First Name:IMMACULATA
Authorized Official - Middle Name:ADAOBI
Authorized Official - Last Name:EMESUE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:908-421-0971
Mailing Address - Street 1:1100 OAKCROFT LN
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1678
Mailing Address - Country:US
Mailing Address - Phone:908-421-0971
Mailing Address - Fax:732-354-0122
Practice Address - Street 1:805 INMAN AVE
Practice Address - Street 2:
Practice Address - City:COLONIA
Practice Address - State:NJ
Practice Address - Zip Code:07067-1433
Practice Address - Country:US
Practice Address - Phone:860-370-3651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-21
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty