| Labyrinth Psychiatry Group Llc | |
|
1503 Saint Georges Ave Ste 201 Colonia NJ 07067-3427 | |
| (908) 336-1187 | |
| Not Available |
| Full Name | Labyrinth Psychiatry Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1503 Saint Georges Ave Ste 201, Colonia, New Jersey |
| Authorized Official Name and Position | Salvatore G Savatta (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2127502273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labyrinth Psychiatry Group Llc 439 Mercer St Stirling NJ 07980-1315 Ph: (212) 750-2273 | Labyrinth Psychiatry Group Llc 1503 Saint Georges Ave Ste 201 Colonia NJ 07067-3427 Ph: (908) 336-1187 |
| NPI Number | 1851912596 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 11/07/2020 |
| Certification Date | 11/07/2020 |
| Medicare PECOS PAC ID | 0042636748 |
|---|---|
| Medicare Enrollment ID | O20200812001124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851912596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Michael Guglielmino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689646747 PECOS PAC ID: 4688566201 Enrollment ID: I20040329000272 |
| Provider Name | Karen L Omilian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316053325 PECOS PAC ID: 2769412212 Enrollment ID: I20050816000050 |
| Provider Name | Mary Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639326671 PECOS PAC ID: 2567513211 Enrollment ID: I20090619000440 |
| Provider Name | Zdena Rubin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962650770 PECOS PAC ID: 3678628906 Enrollment ID: I20090909000723 |
| Provider Name | Telatha Surujnath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588009047 PECOS PAC ID: 0648411348 Enrollment ID: I20130723000271 |
| Provider Name | Jennifer Strauss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346362530 PECOS PAC ID: 6305071119 Enrollment ID: I20131104000738 |
| Provider Name | Salvatore G Savatta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164670717 PECOS PAC ID: 7810040276 Enrollment ID: I20161010000807 |
| Provider Name | Adam Stivala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467738617 PECOS PAC ID: 7315376910 Enrollment ID: I20200402001841 |
| Provider Name | Yaranil Ferrer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811245764 PECOS PAC ID: 2466870373 Enrollment ID: I20200909001680 |
| Provider Name | Thomas Obrzut |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073112546 PECOS PAC ID: 9638582802 Enrollment ID: I20210107000206 |
| Provider Name | Meghan Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588271647 PECOS PAC ID: 9032522206 Enrollment ID: I20210107000477 |
| Provider Name | Elizabeth Finke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235739244 PECOS PAC ID: 3971908872 Enrollment ID: I20210816001423 |
| Provider Name | Syndie Volcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730751413 PECOS PAC ID: 8224422001 Enrollment ID: I20220221000535 |
| Provider Name | Eugene Otchere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659048486 PECOS PAC ID: 7618342734 Enrollment ID: I20231027002484 |
| Provider Name | Orrin Paul Main |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497367528 PECOS PAC ID: 1759729619 Enrollment ID: I20240410004121 |
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