| Clara Maass Medical Center | |
|
1 Clara Maass Drive Belleville NJ 07109-3550 | |
| (973) 450-2000 | |
| (732) 923-2272 |
| Full Name | Clara Maass Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1 Clara Maass Drive, Belleville, New Jersey |
| Authorized Official Name and Position | Mary Ellen Clyne (PRESIDENT/CEO) |
| Authorized Official Contact | 9734502002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Maass Medical Center 1 Clara Maass Drive Belleville NJ 07109-3550 Ph: (973) 450-2000 | Clara Maass Medical Center 1 Clara Maass Drive Belleville NJ 07109-3550 Ph: (973) 450-2000 |
| NPI Number | 1114179025 |
|---|---|
| Provider Enumeration Date | 10/22/2008 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 1153228135 |
|---|---|
| Medicare Enrollment ID | O20100223000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114179025 | NPI | - | NPPES |
| 4135504 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10701 (New Jersey) | Secondary |
| 273R00000X | Psychiatric Unit | (New Jersey) | Primary |
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