| Psychiatry Today, Llc | |
|
223 Bloomfield St Ste 105 Hoboken NJ 07030-4749 | |
| (201) 248-8822 | |
| Not Available |
| Full Name | Psychiatry Today, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 223 Bloomfield St Ste 105, Hoboken, New Jersey |
| Authorized Official Name and Position | Jack Suriano (PART OWNER) |
| Authorized Official Contact | 2012488822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatry Today, Llc 223 Bloomfield St Ste 105 Hoboken NJ 07030-4749 Ph: (201) 248-8822 | Psychiatry Today, Llc 223 Bloomfield St Ste 105 Hoboken NJ 07030-4749 Ph: (201) 248-8822 |
| NPI Number | 1447968417 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 7315384963 |
|---|---|
| Medicare Enrollment ID | O20240319002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447968417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jack Suriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275313165 PECOS PAC ID: 6406203884 Enrollment ID: I20231107000323 |
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