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Contact Information

SEACREST MEDICAL ASSOCIATES, P.A.
1160 RAYMOND BLVD
NEWARK, NJ07102-4168
 Phone: 973-596-3857
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for SEACREST MEDICAL ASSOCIATES PA · (Female)

NPI Number 1164489621
Status Active
Credentials
Entity Individual
Enumeration date 04/27/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 0004561
  • NJ Other 2392545000 AMERIHEALTH
  • NJ Other 6113092 BLACK LUNG
  • NJ Other DA3466 & CK8172 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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