EDDY O. ORTEGA M.D. NPI 1104967520

NPI Information

  • NPI: 1104967520
  • Provider Name: EDDY O. ORTEGA, M.D.
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 SPRING GARDEN RD
    HAMMONTON, NJ
    ZIP 08037
  • Phone: (609) 651-1700

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NPI Details

Eddy O. Ortega, M.D. is a psychiatric hospital in Hammonton, NJ. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. Eddy O. Ortega, M.D. NPI is 1104967520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 SPRING GARDEN RD
HAMMONTON, NJ
ZIP 08037-516
Phone: (609) 651-1700

The NPI 1104967520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 3/7/2023.

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
1283Q00000XPsychiatric Hospital25MA05943600NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D06293600OTHERNEW JERSEYCDS

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: 11/21/2025

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