| Silver Lake Hospital Ltach | |
|
495 N 13th St Newark NJ 07107-1317 | |
| (973) 387-7901 | |
| (973) 587-7830 |
| Full Name | Silver Lake Hospital Ltach |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 495 N 13th St, Newark, New Jersey |
| Authorized Official Name and Position | Linda A La Forgia (VICE PRESIDENT) |
| Authorized Official Contact | 9733877901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lake Hospital Ltach 495 N 13th St Newark NJ 07107-1317 Ph: (973) 387-7901 | Silver Lake Hospital Ltach 495 N 13th St Newark NJ 07107-1317 Ph: (973) 387-7901 |
| NPI Number | 1376294207 |
|---|---|
| Provider Enumeration Date | 01/12/2022 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 4587797857 |
|---|---|
| Medicare Enrollment ID | O20220210002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376294207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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