| Englewood Hospital Psych Unit | |
|
350 Engle St Englewood NJ 07631-1808 | |
| (201) 894-3314 | |
| (201) 569-6255 |
| Full Name | Englewood Hospital Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 350 Engle St, Englewood, New Jersey |
| Authorized Official Name and Position | Douglas A Duchak (PRESIDENT & CEO) |
| Authorized Official Contact | 2018943002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Englewood Hospital Psych Unit 350 Engle St Englewood NJ 07631-1808 Ph: (201) 894-3314 | Englewood Hospital Psych Unit 350 Engle St Englewood NJ 07631-1808 Ph: (201) 894-3314 |
| NPI Number | 1124071980 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/20/2007 |
| Medicare PECOS PAC ID | 9133031149 |
|---|---|
| Medicare Enrollment ID | O20210525002222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124071980 | NPI | - | NPPES |
| 4138333 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 10202 (New Jersey) | Primary |
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