# BSL PM NJ LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164016135
- **Authorized official:** BRAD SAMUEL LIEBERMAN APN (MEMBER)
- **Authorized official phone:** (201) 314-1760

## Contact information

- **Practice address:** 46 N CENTRAL AVE, RAMSEY, NJ 07446-1864
- **Practice address phone:** (201) 314-1760
- **Mailing address:** 31-09 HEYWOOD AVE, FAIR LAWN, NJ 07410-4405
- **Mailing address phone:** (201) 314-1760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2021
- **Last updated:** 08/05/2024