| Embodied Transcendence Existence Llc | |
|
525 Wanaque Ave Pompton Lakes NJ 07442-1843 | |
| (201) 266-3942 | |
| (980) 206-5546 |
| Full Name | Embodied Transcendence Existence Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 525 Wanaque Ave, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Jawad Manzoor (OWNER) |
| Authorized Official Contact | 2012663942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Transcendence Existence Llc 525 Wanaque Ave Pompton Lakes NJ 07442-1843 Ph: (201) 266-3942 | Embodied Transcendence Existence Llc 525 Wanaque Ave Pompton Lakes NJ 07442-1843 Ph: (201) 266-3942 |
| NPI Number | 1851001341 |
|---|---|
| Provider Enumeration Date | 11/25/2022 |
| Last Update Date | 01/02/2025 |
| Certification Date | 01/02/2025 |
| Medicare PECOS PAC ID | 9436528379 |
|---|---|
| Medicare Enrollment ID | O20221215000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851001341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jawad Manzoor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295354330 PECOS PAC ID: 0345619284 Enrollment ID: I20221215000677 |
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