Provider Demographics
NPI:1508918590
Name:EAST ORANGE PSYCHIATRIC ASSOCIATES, LLP
Entity Type:Organization
Organization Name:EAST ORANGE PSYCHIATRIC ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALVIN
Authorized Official - Last Name:ROCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-565-0600
Mailing Address - Street 1:400 STONY BROOK CT
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-6522
Mailing Address - Country:US
Mailing Address - Phone:845-565-0600
Mailing Address - Fax:866-733-1910
Practice Address - Street 1:400 STONY BROOK CT
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-6522
Practice Address - Country:US
Practice Address - Phone:845-565-0600
Practice Address - Fax:866-733-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWWP551Medicare PIN