| Omni Health Services, Inc. | |
|
427 Market St Camden NJ 08102-1525 | |
| (856) 541-5310 | |
| Not Available |
| Full Name | Omni Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 427 Market St, Camden, New Jersey |
| Authorized Official Name and Position | Michael M Thevar (PRESIDENT) |
| Authorized Official Contact | 2159972000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Health Services, Inc. Po Box 454 Montgomeryville PA 18936-0454 Ph: (215) 997-2000 | Omni Health Services, Inc. 427 Market St Camden NJ 08102-1525 Ph: (856) 541-5310 |
| NPI Number | 1821504564 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Medicare PECOS PAC ID | 1153571831 |
|---|---|
| Medicare Enrollment ID | O20161128000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821504564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | James A Baldwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760405278 PECOS PAC ID: 0244382240 Enrollment ID: I20090722000718 |
| Provider Name | Farah A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639325442 PECOS PAC ID: 3476697715 Enrollment ID: I20100224000391 |
| Provider Name | Leslie A Frey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336427616 PECOS PAC ID: 1456521483 Enrollment ID: I20110831000470 |
| Provider Name | Rowena R Francisco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518045954 PECOS PAC ID: 1658511357 Enrollment ID: I20130701000107 |
| Provider Name | Karenton Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831675636 PECOS PAC ID: 1254670763 Enrollment ID: I20190228000264 |
| Provider Name | Shari Peltz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407475940 PECOS PAC ID: 6305209644 Enrollment ID: I20230905000014 |
| Provider Name | Kristin M Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972178341 PECOS PAC ID: 3870942709 Enrollment ID: I20231218001133 |
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