| Jersey Dtx Llc | |
|
14 Woodward Dr Ste 1a Old Bridge NJ 08857-3374 | |
| (732) 360-2888 | |
| Not Available |
| Full Name | Jersey Dtx Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 14 Woodward Dr Ste 1a, Old Bridge, New Jersey |
| Authorized Official Name and Position | Padmarekha Rao (DIRECTOR) |
| Authorized Official Contact | 7323602888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Dtx Llc 14 Woodward Dr Ste 1a Old Bridge NJ 08857-3374 Ph: (732) 360-2888 | Jersey Dtx Llc 14 Woodward Dr Ste 1a Old Bridge NJ 08857-3374 Ph: (732) 360-2888 |
| NPI Number | 1972380285 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 1355799842 |
|---|---|
| Medicare Enrollment ID | O20231121003501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972380285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Padmarekha Rao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093851917 PECOS PAC ID: 3072403401 Enrollment ID: I20040318000595 |
Innerspace Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2433 Route 516, Suite D, Old Bridge, NJ 08857 Phone: 732-332-8270 Fax: 732-862-1146 | |
Therapy Connection Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Cindy St, Old Bridge, NJ 08857 Phone: 732-858-1796 | |
Simplistic Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Audrey St, Old Bridge, NJ 08857 Phone: 973-652-7738 | |
Stress Care Of Central Jersey, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3895 Route 516, Suite 2b, Old Bridge, NJ 08857 Phone: 732-679-4500 Fax: 732-679-4549 | |
Kb-aba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 First St, Old Bridge, NJ 08857 Phone: 732-425-0344 | |
Apluscare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Holly St, Old Bridge, NJ 08857 Phone: 732-570-9808 | |
Ymca Of Greater Monmouth County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3439 Highway 516, Old Bridge, NJ 08857 Phone: 732-290-9040 Fax: 732-566-0433 |