| Jersey Behavioral Care Llc | |
|
1945 Morris Ave Ste 7 Union NJ 07083-3518 | |
| (908) 291-2727 | |
| Not Available |
| Full Name | Jersey Behavioral Care Llc |
|---|---|
| Speciality | Counselor |
| Location | 1945 Morris Ave Ste 7, Union, New Jersey |
| Authorized Official Name and Position | Feliks Grinberg (PRESIDENT) |
| Authorized Official Contact | 7326857277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Behavioral Care Llc 1945 Morris Ave Ste 7 Union NJ 07083-3518 Ph: (908) 291-2727 | Jersey Behavioral Care Llc 1945 Morris Ave Ste 7 Union NJ 07083-3518 Ph: (908) 291-2727 |
| NPI Number | 1740677152 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 07/06/2020 |
| Certification Date | 07/06/2020 |
| Medicare PECOS PAC ID | 4183992142 |
|---|---|
| Medicare Enrollment ID | O20170615000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740677152 | NPI | - | NPPES |
| Provider Name | Azuka M Ofodike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922422617 PECOS PAC ID: 8325367931 Enrollment ID: I20150504001144 |
| Provider Name | Gladiette O Nkiru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083020010 PECOS PAC ID: 6103131826 Enrollment ID: I20150810002445 |
| Provider Name | Philomina A Igwechi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992167738 PECOS PAC ID: 2961799986 Enrollment ID: I20160920000065 |
| Provider Name | Les Linet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528123288 PECOS PAC ID: 1658403746 Enrollment ID: I20161122000904 |
| Provider Name | Tracy A Hamolko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912006727 PECOS PAC ID: 7517229511 Enrollment ID: I20180402000447 |
| Provider Name | Angela N Anukam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734944 PECOS PAC ID: 1951666940 Enrollment ID: I20180522001184 |
| Provider Name | Cathy E Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437499779 PECOS PAC ID: 2466794623 Enrollment ID: I20190508002900 |
| Provider Name | Ebiaredo Alofe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043859499 PECOS PAC ID: 9931522125 Enrollment ID: I20200707000750 |
| Provider Name | Francesca Viola-hamilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265918577 PECOS PAC ID: 5294146494 Enrollment ID: I20201119000198 |
| Provider Name | Yanick Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205448859 PECOS PAC ID: 3577972090 Enrollment ID: I20210512002070 |
| Provider Name | Denise Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144277 PECOS PAC ID: 2860898855 Enrollment ID: I20210830002787 |
| Provider Name | Esther D Meza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316362049 PECOS PAC ID: 1254739980 Enrollment ID: I20211012000157 |
| Provider Name | Brian Hoyt Hagerty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982274973 PECOS PAC ID: 5698131282 Enrollment ID: I20230524002442 |
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