| Garden State Counseling, Inc | |
|
506 Hamburg Tpke Suite 209 Wayne NJ 07470-2068 | |
| (631) 839-1880 | |
| Not Available |
| Full Name | Garden State Counseling, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 506 Hamburg Tpke, Wayne, New Jersey |
| Authorized Official Name and Position | Ferhana Nadeem (PRESIDENT) |
| Authorized Official Contact | 6318391880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Counseling, Inc 506 Hamburg Tpke Suite 209 Wayne NJ 07470-2068 Ph: (631) 839-1880 | Garden State Counseling, Inc 506 Hamburg Tpke Suite 209 Wayne NJ 07470-2068 Ph: (631) 839-1880 |
| NPI Number | 1871901801 |
|---|---|
| Provider Enumeration Date | 07/22/2014 |
| Last Update Date | 12/07/2024 |
| Certification Date | 12/07/2024 |
| Medicare PECOS PAC ID | 1850617119 |
|---|---|
| Medicare Enrollment ID | O20150303002076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871901801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Robert R Tirado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558514836 PECOS PAC ID: 6002072113 Enrollment ID: I20120718000066 |
| Provider Name | Mamilda Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831513829 PECOS PAC ID: 6800014770 Enrollment ID: I20140908000275 |
| Provider Name | Intisar Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912335191 PECOS PAC ID: 3072890086 Enrollment ID: I20170522002830 |
| Provider Name | Althea Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063977114 PECOS PAC ID: 4688905516 Enrollment ID: I20191008001348 |
| Provider Name | Ghulam S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447815071 PECOS PAC ID: 3375900806 Enrollment ID: I20230526002359 |
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