1. Home
  2. Directory
  3. New Jersey
  4. Hackensack
  5. Nurse Practitioner
  6. NPI Profile

FUNCTIONAL MEDICINE CENTERS
NPI 1487185401
Nurse Practitioner - Psychiatric/Mental Health in Hackensack, NJ

Active since March 22, 2017
481 HACKENSACK AVE, SUITE 2A, HACKENSACK, NJ 07601(201) 880-0685(201) 342-4346 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Functional Medicine Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUNCTIONAL MEDICINE CENTERS (NPI 1487185401) is a healthcare organization registered as a psychiatric/mental health in Hackensack, New Jersey and active in the NPI registry since March 2017. The organization lists Katrina Stevens, Office Supervisor, as its authorized official.

NPPES Registry Identity

NPI1487185401
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFUNCTIONAL MEDICINE CENTERS
Location Address481 HACKENSACK AVE, SUITE 2AHackensack, NJ 07601-6330
Mailing Address481 Hackensack Ave, Suite 2aHackensack, NJ 07601-6330 · (201) 880-0685 · Fax (201) 342-4346
Phone(201) 880-0685
Fax(201) 342-4346
Organization SubpartNo
Authorized OfficialKatrina StevensOffice Supervisor · (201) 880-0685
Enumeration DateMarch 22, 2017
✔ NPI 1487185401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00080100
481 HACKENSACK AVE, Hackensack, NJ 07601
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY ESOLDI
Dentist (General Practice)
481 HACKENSACK AVE, 1ST FLOOR
HACKENSACK, NJ 07601
Bergen County (201) 488-8228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Functional Medicine Centers's NPI number?

The NPI number for Functional Medicine Centers is 1487185401. It was assigned to this organization in the NPPES registry on March 22, 2017.

Where is Functional Medicine Centers located?

Functional Medicine Centers is located at 481 Hackensack Ave Suite 2A, Hackensack, NJ 07601. The listed phone number is (201) 880-0685.

What is Functional Medicine Centers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Functional Medicine Centers was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.