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DR. NAOMI AMBALU, LLC
NPI 1780192401
Clinic/Center - Adolescent and Children Mental Health in Mahwah, NJ

Active since January 16, 2018
115 FRANKLIN TPKE STE 139, MAHWAH, NJ 07430(908) 998-2288(705) 995-2043 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2018, Mar 7, 2018, Jan 16, 2018 (3 updates tracked since 2018).

About Dr. Naomi Ambalu, Llc NPPES

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

DR. NAOMI AMBALU, LLC (NPI 1780192401) is a healthcare organization registered as an adolescent and children mental health in Mahwah, New Jersey and active in the NPI registry since January 2018. The organization lists Naomi Ambalu, Owner, as its authorized official.

NPPES Registry Identity

NPI1780192401
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameDR. NAOMI AMBALU, LLC
Location Address115 FRANKLIN TPKE STE 139Mahwah, NJ 07430-1325
Mailing Address115 Franklin Tpke Ste 139Mahwah, NJ 07430-1325 · (908) 998-2288
Phone(908) 998-2288
Fax(705) 995-2043
Organization SubpartNo
Authorized OfficialNaomi AmbaluOwner · (908) 998-2288
Enumeration DateJanuary 16, 2018
Last NPPES UpdateSeptember 25, 20183 updates tracked since enumeration
✔ NPI 1780192401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
115 FRANKLIN TPKE STE 139, Mahwah, NJ 07430
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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 Dr. Naomi Ambalu, LLC's NPI number?

The NPI number for Dr. Naomi Ambalu, LLC is 1780192401. It was assigned to this organization in the NPPES registry on January 16, 2018.

Where is Dr. Naomi Ambalu, LLC located?

Dr. Naomi Ambalu, LLC is located at 115 Franklin Tpke Ste 139, Mahwah, NJ 07430. The listed phone number is (908) 998-2288.

What is Dr. Naomi Ambalu, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Dr. Naomi Ambalu, LLC was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.