Provider Demographics
NPI:1326407412
Name:MAGID, DANA (BA)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:
Last Name:MAGID
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19-21 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-4107
Mailing Address - Country:US
Mailing Address - Phone:973-361-5555
Mailing Address - Fax:973-361-5290
Practice Address - Street 1:19-21 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801-4107
Practice Address - Country:US
Practice Address - Phone:973-361-5555
Practice Address - Fax:973-361-5290
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJO356221Medicaid
NJO356935Medicaid