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NEW AGE PSYCHIATRY LLC NPI 1023430600


NPI Information

NPI: 1023430600
Provider Name: NEW AGE PSYCHIATRY LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
480 JACKSON RD
ATCO, NJ
ZIP 08004
Phone: (856) 767-5020
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NEW AGE PSYCHIATRY LLC is a community based residential treatment facility mental illness in Atco, NJ. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NEW AGE PSYCHIATRY LLC NPI is 1023430600. The provider is registered as an organization entity type.

The provider's business location address is:

480 JACKSON RD
ATCO, NJ
ZIP 08004-651
Phone: (856) 767-5020
Fax: (856) 768-3541

The provider's authorized official is Safeer A Ansari .
The authorized official title is Doctor and has the following contact phone number (918) 810-7864.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.