| Rutgers Health-rwj Psychiatry Clinic | |
|
675 Hoes Ln W Piscataway NJ 08854-8021 | |
| (732) 235-4402 | |
| Not Available |
| Full Name | Rutgers Health-rwj Psychiatry Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 675 Hoes Ln W, Piscataway, New Jersey |
| Authorized Official Name and Position | Brenda Lawrence (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 7322356070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rutgers Health-rwj Psychiatry Clinic 66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 Ph: (732) 212-0051 | Rutgers Health-rwj Psychiatry Clinic 675 Hoes Ln W Piscataway NJ 08854-8021 Ph: (732) 235-4402 |
| NPI Number | 1316222664 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 0042456311 |
|---|---|
| Medicare Enrollment ID | O20130412000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316222664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Sherie L Novotny |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942218607 PECOS PAC ID: 9739077843 Enrollment ID: I20040310000046 |
| Provider Name | Paul M Lehrer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366520660 PECOS PAC ID: 7214979236 Enrollment ID: I20050531000597 |
| Provider Name | Roseanne D Dobkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528141231 PECOS PAC ID: 2769426147 Enrollment ID: I20050624000373 |
| Provider Name | Jill M Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366542565 PECOS PAC ID: 7113940016 Enrollment ID: I20060111000281 |
| Provider Name | Kenneth R. Kaufman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831277169 PECOS PAC ID: 6002002011 Enrollment ID: I20101201001280 |
| Provider Name | Aphrodite M Zimmerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932303583 PECOS PAC ID: 2365699899 Enrollment ID: I20120905000665 |
| Provider Name | Adam J Trenton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720249923 PECOS PAC ID: 3375784358 Enrollment ID: I20130802000699 |
| Provider Name | Wun Jung Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982690525 PECOS PAC ID: 1254391238 Enrollment ID: I20140407001134 |
| Provider Name | Rehan Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457391310 PECOS PAC ID: 3072515618 Enrollment ID: I20160506000452 |
| Provider Name | Vamsee K Chaguturu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720404668 PECOS PAC ID: 5395000343 Enrollment ID: I20180523000831 |
| Provider Name | Anthony Deo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558637934 PECOS PAC ID: 6103141254 Enrollment ID: I20190716002168 |
| Provider Name | Shawen Maryrose Ilaria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386051860 PECOS PAC ID: 9335478023 Enrollment ID: I20190905001104 |
| Provider Name | Jason D Mintz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811372535 PECOS PAC ID: 0345661013 Enrollment ID: I20200604001737 |
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