| East Orange General Hospital | |
|
300 Central Ave East Orange NJ 07018-2819 | |
| (973) 672-8400 | |
| Not Available |
| Full Name | East Orange General Hospital |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 Central Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Rafael Ramos (SR. DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9739608561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Orange General Hospital 300 Central Avenue East Orange NJ 07018-2819 Ph: (973) 414-3473 | East Orange General Hospital 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 672-8400 |
| NPI Number | 1760851893 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Medicare PECOS PAC ID | 9931401437 |
|---|---|
| Medicare Enrollment ID | O20151230000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760851893 | NPI | - | NPPES |
| 0389196 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 10704 (New Jersey) | Primary |
| Provider Name | Ambrose O Mgbako |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629045323 PECOS PAC ID: 8426941949 Enrollment ID: I20040206000497 |
| Provider Name | Anthony G Lamonaca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982794723 PECOS PAC ID: 1658333406 Enrollment ID: I20041103000314 |
| Provider Name | Curt Pinchuck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275532871 PECOS PAC ID: 2668420399 Enrollment ID: I20050110000095 |
| Provider Name | James R Varrell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689779043 PECOS PAC ID: 2567366073 Enrollment ID: I20050412000150 |
| Provider Name | Dharamsi D Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831157270 PECOS PAC ID: 8022058395 Enrollment ID: I20050505000694 |
| Provider Name | Joseph V Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053351569 PECOS PAC ID: 6800828252 Enrollment ID: I20050907000103 |
| Provider Name | Iftekhar Kadri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093711947 PECOS PAC ID: 5496712051 Enrollment ID: I20050914000063 |
| Provider Name | Nirmala S Rajakumar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821041294 PECOS PAC ID: 3870504079 Enrollment ID: I20060602000099 |
| Provider Name | Amit Kurani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770707986 PECOS PAC ID: 7719078286 Enrollment ID: I20070813000556 |
| Provider Name | Jenys Allende |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013171362 PECOS PAC ID: 6002979168 Enrollment ID: I20090115000322 |
| Provider Name | Trevor George Forbes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225109390 PECOS PAC ID: 5597754978 Enrollment ID: I20091023000667 |
| Provider Name | Rajendra R Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144338641 PECOS PAC ID: 5698878734 Enrollment ID: I20100113000392 |
| Provider Name | Maasi Shamilov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528073491 PECOS PAC ID: 8123175775 Enrollment ID: I20101029000253 |
| Provider Name | Ellis B Charles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013046341 PECOS PAC ID: 5597943324 Enrollment ID: I20110627000700 |
| Provider Name | Linda Gable-stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265675888 PECOS PAC ID: 1456523893 Enrollment ID: I20111007000449 |
| Provider Name | Christopher R Richards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952631715 PECOS PAC ID: 0648401927 Enrollment ID: I20140331000641 |
| Provider Name | Azuka M Ofodike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422617 PECOS PAC ID: 8325367931 Enrollment ID: I20150504001144 |
| Provider Name | Richard Allan Callahan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215378336 PECOS PAC ID: 4587886221 Enrollment ID: I20160620002271 |
| Provider Name | Marissa Stridiron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154635811 PECOS PAC ID: 2668664251 Enrollment ID: I20160901000938 |
| Provider Name | Elton J Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679526784 PECOS PAC ID: 1759487614 Enrollment ID: I20161014000050 |
Daniel E Williams Phd Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Central Ave Ste 615, East Orange, NJ 07018 Phone: 973-675-9200 Fax: 973-678-8432 | |
Wisdoms Inventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Lindsley Pl Fl 2, East Orange, NJ 07018 Phone: 908-397-2992 | |
Johnson & Associates Counseling & Consultation Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Harrison St Ste A, East Orange, NJ 07018 Phone: 973-677-7053 Fax: 973-677-7050 | |
Union Association Of The Children's Home Of Burlington County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Glenwood Ave, Suite #400, East Orange, NJ 07017 Phone: 609-267-5656 Fax: 609-265-1895 | |
Marvelous Me Therapy & Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Evergreen Pl, East Orange, NJ 07018 Phone: 646-645-6929 Fax: 347-402-1055 | |
Page Behavioral Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Crawford St, East Orange, NJ 07018 Phone: 888-285-4155 | |
Connectionsarereal Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Harrison St Apt 7b, East Orange, NJ 07018 Phone: 973-855-1272 |