1477733483 NPI number — LAURIE ELLEANORE GREISCH DNP, PMHNP, F.N.P.

Table of content: LAURIE ELLEANORE GREISCH DNP, PMHNP, F.N.P. (NPI 1477733483)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477733483 NPI number — LAURIE ELLEANORE GREISCH DNP, PMHNP, F.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREISCH
Provider First Name:
LAURIE
Provider Middle Name:
ELLEANORE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, PMHNP, F.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARSENAKOS
Provider Other First Name:
LAURIE
Provider Other Middle Name:
ELLEANORE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
APN, DNP, PMHNP, FNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1477733483
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
331 NEWMAN SPRINGS ROAD
Provider Second Line Business Mailing Address:
BUILDING 1 , 4TH FLOOR, SUITE 143
Provider Business Mailing Address City Name:
RED BANK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-934-6463
Provider Business Mailing Address Fax Number:
732-913-1530

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
331 NEWMAN SPRINGS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RED BANK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07701-5688
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-934-6463
Provider Business Practice Location Address Fax Number:
732-913-1530
Provider Enumeration Date:
11/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  26NJ00145400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: 26NJ00145400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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