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Contact Information

PSYCHIATRIC MEDICINE CONSULTANTS OF NEW JERSEY LLC
60 W RIDGEWOOD AVE
RIDGEWOOD, NJ07450-3197
 Phone: 201-681-2915
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PSYCHIATRIC MEDICINE CONSULTANTS OF NEW JERSEY LLC

NPI # 1366633448
LBN Legal business name PSYCHIATRIC MEDICINE CONSULTANTS OF NEW JERSEY LLC
Authorized official STEVEN SAMUELS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2007
Last updated 11/28/2007 - About 19 years ago
Identifiers
NJ License # 25MA07660500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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