New Jersey Psychiatric Clinic | |
2510 Belmar Blvd Ste I-18 Wall NJ 07719-3984 | |
(732) 800-8693 | |
Not Available |
Full Name | New Jersey Psychiatric Clinic |
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Speciality | Psychiatry & Neurology |
Location | 2510 Belmar Blvd Ste I-18, Wall, New Jersey |
Authorized Official Name and Position | Constance Nana Kusi (NURSE PRACTITIONER) |
Authorized Official Contact | 2015151661 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Jersey Psychiatric Clinic 3 Jefferson Dr Brick NJ 08724-3243 Ph: (201) 515-1661 | New Jersey Psychiatric Clinic 2510 Belmar Blvd Ste I-18 Wall NJ 07719-3984 Ph: (732) 800-8693 |
NPI Number | 1770350837 |
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Provider Enumeration Date | 12/08/2023 |
Last Update Date | 12/08/2023 |
Certification Date | 12/08/2023 |
Medicare PECOS PAC ID | 0244773497 |
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Medicare Enrollment ID | O20240617002346 |
Identifier | Type | State | Issuer |
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1770350837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Constance Nana Kusi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649995887 PECOS PAC ID: 1153864301 Enrollment ID: I20240617002519 |
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