Avraham Fisgus, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Brick, NJ. Individual provider (NPI-1).
NPI number1104779396
StatusActive
Last updated in NPPESFeb 17, 2026
Details
- NPI
- 1104779396
- Entity type
- Individual (NPI-1)
- Name
- Avraham Fisgus
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2026
- Certification date
- Feb 17, 2026
- Last updated
- Feb 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ15527600 | NJ | Yes |
Practice location
425 Jack Martin BlvdBrick, NJ 08724-7732
Phone 732-840-2200
Mailing address
36 Arosa HlLakewood, NJ 08701-2134
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