Provider Demographics
NPI:1770721854
Name:PSYCHIATRIC ASSOCIATES OF NORTH JERSEY, INC
Entity type:Organization
Organization Name:PSYCHIATRIC ASSOCIATES OF NORTH JERSEY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:REHAN
Authorized Official - Last Name:GHANI
Authorized Official - Suffix:
Authorized Official - Credentials:SAMAR ABRAR MD
Authorized Official - Phone:732-672-5767
Mailing Address - Street 1:288 LEONARD PL
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-4517
Mailing Address - Country:US
Mailing Address - Phone:201-262-4311
Mailing Address - Fax:201-262-4311
Practice Address - Street 1:288 LEONARD PL
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-4517
Practice Address - Country:US
Practice Address - Phone:201-262-4311
Practice Address - Fax:201-262-4311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty