Heart Mind Body | |
14 Church Street Newton NJ 07860 | |
(973) 600-5487 | |
(973) 957-3222 |
Full Name | Heart Mind Body |
---|---|
Speciality | Psychiatry & Neurology |
Location | 14 Church Street, Newton, New Jersey |
Authorized Official Name and Position | Dorothy Geffken (OWNER/CEO) |
Authorized Official Contact | 9736005487 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Heart Mind Body 16 Main St Apt D5 Sparta NJ 07871-1958 Ph: (973) 362-5652 | Heart Mind Body 14 Church Street Newton NJ 07860 Ph: (973) 600-5487 |
NPI Number | 1013606235 |
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Provider Enumeration Date | 05/03/2023 |
Last Update Date | 10/18/2023 |
Certification Date | 10/17/2023 |
Medicare PECOS PAC ID | 4082076385 |
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Medicare Enrollment ID | O20230818000877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013606235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Dorothy L Geffken |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689268898 PECOS PAC ID: 6800258104 Enrollment ID: I20230818000958 |
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