Provider Demographics
NPI:1629013859
Name:WILLIAM R. NADEL, M.D., PA
Entity Type:Organization
Organization Name:WILLIAM R. NADEL, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:NADEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-665-0066
Mailing Address - Street 1:203 RIVEREDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-3115
Mailing Address - Country:US
Mailing Address - Phone:973-665-0066
Mailing Address - Fax:
Practice Address - Street 1:203 RIVEREDGE DR
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-3115
Practice Address - Country:US
Practice Address - Phone:973-665-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA032671002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ103992Medicare PIN