Provider Demographics
NPI:1972147718
Name:OASIS BH
Entity type:Organization
Organization Name:OASIS BH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:LUIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIOLO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, PMHNP-BC
Authorized Official - Phone:917-669-8305
Mailing Address - Street 1:202 14TH ST N APT B
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-3223
Mailing Address - Country:US
Mailing Address - Phone:917-669-8305
Mailing Address - Fax:732-734-1962
Practice Address - Street 1:4274 HARBOR BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-1362
Practice Address - Country:US
Practice Address - Phone:908-340-0492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-05
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty