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SEACREST MEDICAL ASSOCIATES P.A. NPI 1164489621


NPI Information

NPI: 1164489621
Provider Name: SEACREST MEDICAL ASSOCIATES, P.A.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1160 RAYMOND BLVD
NEWARK, NJ
ZIP 07102
Phone: (973) 596-3857
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SEACREST MEDICAL ASSOCIATES, P.A. is a psychiatry psychiatry neurology in Newark, NJ. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. SEACREST MEDICAL ASSOCIATES, P.A. NPI is 1164489621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1160 RAYMOND BLVD
NEWARK, NJ
ZIP 07102-168
Phone: (973) 596-3857

The provider's authorized official is Joseph John Calabro .
The authorized official title is President and has the following contact phone number (732) 212-0060.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 4/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084A0401XPsychiatry & NeurologyAddiction Medicine=========NEW JERSEYNo
22084N0400XPsychiatry & NeurologyNeurology=========NEW JERSEYNo
3207R00000XInternal Medicine=========NEW JERSEYNo
42084P0800XPsychiatry & NeurologyPsychiatry=========NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16113092OTHERNEW JERSEYBLACK LUNG
22392545000OTHERNEW JERSEYAMERIHEALTH
3DA3466 & CK8172OTHERNEW JERSEYRAILROAD MEDICARE
4071334MEDICARE PINNEW JERSEY
50004561MEDICAIDNEW JERSEY

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: 11/14/2023

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