Provider Demographics
NPI:1770445603
Name:NJOROGE, TERESIA
Entity type:Individual
Prefix:
First Name:TERESIA
Middle Name:
Last Name:NJOROGE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:MINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:07803-2427
Mailing Address - Country:US
Mailing Address - Phone:862-432-9042
Mailing Address - Fax:
Practice Address - Street 1:44 WASHINGTON ST UNIT 1140
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3931
Practice Address - Country:US
Practice Address - Phone:973-657-5630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-25-86176103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty