| Sk Lifestyle Psychiatry Llc | |
|
51 Jfk Pkwy Fl 1 Short Hills NJ 07078-2713 | |
| (201) 389-2729 | |
| (201) 270-0194 |
| Full Name | Sk Lifestyle Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 51 Jfk Pkwy Fl 1, Short Hills, New Jersey |
| Authorized Official Name and Position | Kofoworola Ojo (PSYCHIATRIST) |
| Authorized Official Contact | 2013892729 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sk Lifestyle Psychiatry Llc 51 Jfk Pkwy Fl 1 2008 Short Hills NJ 07078 Ph: (201) 389-2729 | Sk Lifestyle Psychiatry Llc 51 Jfk Pkwy Fl 1 Short Hills NJ 07078-2713 Ph: (201) 389-2729 |
| NPI Number | 1528774767 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 07/06/2024 |
| Certification Date | 07/06/2024 |
| Medicare PECOS PAC ID | 2860839131 |
|---|---|
| Medicare Enrollment ID | O20240401002982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528774767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kofoworola Ojo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942658075 PECOS PAC ID: 4981000262 Enrollment ID: I20240401003110 |
| Provider Name | Samet Galiboglu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659990216 PECOS PAC ID: 6305283672 Enrollment ID: I20240402001013 |
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