DYNAMIC MENTAL HEALTH SERVICES, LLC
NPI 1669337705
Nurse Practitioner - Psychiatric/Mental Health in Old Tappan, NJ

Active since December 22, 2025
48 BI STATE PLZ # 841, OLD TAPPAN, NJ 07675(917) 383-3750 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 22, 2026, May 9, 2026, Dec 22, 2025 (3 updates tracked since 2025).

About Dynamic Mental Health Services, Llc NPPES

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

DYNAMIC MENTAL HEALTH SERVICES, LLC (NPI 1669337705) is a healthcare organization registered as a psychiatric/mental health in Old Tappan, New Jersey and active in the NPI registry since December 2025. The organization lists Ezinne Ezete, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1669337705
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDYNAMIC MENTAL HEALTH SERVICES, LLC
Location Address48 BI STATE PLZ # 841Old Tappan, NJ 07675-7003
Mailing Address48 Bi State Plz, Pmb841Old Tappan, NJ 07675-7003 · (917) 383-3750
Organization SubpartNo
Authorized OfficialEzinne EzeteManaging Member · (917) 383-3750
Enumeration DateDecember 22, 2025
Last NPPES UpdateMay 22, 20263 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
NPI 1669337705 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
48 BI STATE PLZ # 841, Old Tappan, NJ 07675

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dynamic Mental Health Services, LLC's NPI number?

The NPI number for Dynamic Mental Health Services, LLC is 1669337705. It was assigned to this organization in the NPPES registry on December 22, 2025.

Where is Dynamic Mental Health Services, LLC located?

Dynamic Mental Health Services, LLC is located at 48 Bi State Plz # 841, Old Tappan, NJ 07675. The listed phone number is (917) 383-3750.

What is Dynamic Mental Health Services, LLC'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 Dynamic Mental Health Services, LLC was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.