Dr Lydia Nicole Keise, MD | |
33 Plymouth St, Suite 108, Montclair, NJ 07042-2677 | |
(973) 744-6440 | |
Not Available |
Full Name | Dr Lydia Nicole Keise |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 33 Plymouth St, Montclair, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346562857 | NPI | - | NPPES |
1720367832 | Other | NJ | GROUP NPI |
271890426 | Other | NJ | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA08706800 (New Jersey) | Primary |
Entity Name | Rutgers Health Behavioral Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891956298 PECOS PAC ID: 2466346770 Enrollment ID: O20040419001021 |
Entity Name | Vimax Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922440627 PECOS PAC ID: 7416273644 Enrollment ID: O20150306001011 |
Mailing Address | Practice Location Address |
---|---|
Dr Lydia Nicole Keise, MD 33 Plymouth St, Suite 108, Montclair, NJ 07042-2677 Ph: (973) 744-6440 | Dr Lydia Nicole Keise, MD 33 Plymouth St, Suite 108, Montclair, NJ 07042-2677 Ph: (973) 744-6440 |
Dr. David Blady, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 127 Pine St, Montclair, NJ 07042 Phone: 973-743-9555 | |
Dr. John Cooke, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 516 Bloomfield Ave, Suite 4, Montclair, NJ 07042 Phone: 973-509-1500 Fax: 973-509-1919 | |
Dr. Bruce P Friedman, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 207 Inwood Ave, Montclair, NJ 07043 Phone: 973-509-8400 Fax: 973-337-5097 | |
Dr. Laurence Michael Westreich, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 202 Bellevue Ave, Side Entrance, Montclair, NJ 07043 Phone: 973-509-1444 | |
Marie R Badaracco-apolito, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 88 Norwood Ave, Montclair, NJ 07043 Phone: 973-783-5033 Fax: 973-746-2604 | |
Dr. Paul Vincent Kennedy, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 117 Watchung Ave, 2nd Floor, Montclair, NJ 07043 Phone: 973-783-2984 Fax: 973-783-5074 | |
Dr. Edward A Latimer, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 24 Portland Pl, Montclair, NJ 07042 Phone: 973-744-1880 Fax: 973-746-9575 |