Provider Demographics
NPI:1902537103
Name:PROMPT SOLUTIONS HEALTH AND WELLNESS CENTER
Entity Type:Organization
Organization Name:PROMPT SOLUTIONS HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:OFOSU-MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:DMP, PMHNP-BC
Authorized Official - Phone:973-342-3240
Mailing Address - Street 1:6 SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2032
Mailing Address - Country:US
Mailing Address - Phone:973-342-3240
Mailing Address - Fax:
Practice Address - Street 1:25 POMPTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2938
Practice Address - Country:US
Practice Address - Phone:201-932-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00922100OtherLICENSE/REGISTRATION STATE OF NEW JERSEY