| Tenafly Psychiatric Associates, L.l.c. | |
|
2 Dean Drive 1st Floor South Wing Tenafly NJ 07670-2765 | |
| (201) 568-8288 | |
| (201) 568-8105 |
| Full Name | Tenafly Psychiatric Associates, L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2 Dean Drive, Tenafly, New Jersey |
| Authorized Official Name and Position | Jay L Friedman (OWNER) |
| Authorized Official Contact | 2013147648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenafly Psychiatric Associates, L.l.c. 2 Dean Dr Fl 1 Tenafly NJ 07670-2765 Ph: (201) 568-8288 | Tenafly Psychiatric Associates, L.l.c. 2 Dean Drive 1st Floor South Wing Tenafly NJ 07670-2765 Ph: (201) 568-8288 |
| NPI Number | 1821063835 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 1759345614 |
|---|---|
| Medicare Enrollment ID | O20080923000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821063835 | NPI | - | NPPES |
| 9055509 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (New Jersey) | Primary |
| Provider Name | Jay Lawrence Friedman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1669447587 PECOS PAC ID: 1850388844 Enrollment ID: I20040430000083 |
| Provider Name | Margaret E Cummins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043233042 PECOS PAC ID: 8820076870 Enrollment ID: I20040708000012 |
| Provider Name | Linda Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225063605 PECOS PAC ID: 6002822186 Enrollment ID: I20060227000490 |
| Provider Name | Nieves Cuervo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669657508 PECOS PAC ID: 2062590367 Enrollment ID: I20080428000472 |
| Provider Name | Suzanne C Salamanca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922278761 PECOS PAC ID: 8921160904 Enrollment ID: I20081230000043 |
| Provider Name | Jason E Estok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841496098 PECOS PAC ID: 3870778400 Enrollment ID: I20110426000395 |
| Provider Name | Traci M Zuckerman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306110705 PECOS PAC ID: 3375704950 Enrollment ID: I20120406000273 |
| Provider Name | Janet M Fairbanks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053567602 PECOS PAC ID: 8123246824 Enrollment ID: I20140821000983 |
| Provider Name | Melissa F Lillien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619203577 PECOS PAC ID: 1254567126 Enrollment ID: I20160315002118 |
| Provider Name | Dongjin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811447501 PECOS PAC ID: 3274897244 Enrollment ID: I20181121000211 |
| Provider Name | Winsley K Calip-yero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457856825 PECOS PAC ID: 2466797402 Enrollment ID: I20190131000024 |
| Provider Name | Janet Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467924233 PECOS PAC ID: 1759616840 Enrollment ID: I20190711001570 |
| Provider Name | Hyo Soon Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346894482 PECOS PAC ID: 3577891134 Enrollment ID: I20190821002070 |
| Provider Name | Jane E O Rourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306492335 PECOS PAC ID: 4183956469 Enrollment ID: I20191106001923 |
| Provider Name | Daliya A Chandroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730738428 PECOS PAC ID: 2769714567 Enrollment ID: I20191127001167 |
| Provider Name | Samar A Jasser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881750552 PECOS PAC ID: 4789739509 Enrollment ID: I20191202000081 |
| Provider Name | Javaid H Iftikhar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245631332 PECOS PAC ID: 5698019230 Enrollment ID: I20200826000050 |
| Provider Name | Julia Anne Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639703341 PECOS PAC ID: 4587083225 Enrollment ID: I20200930001782 |
| Provider Name | Emily A Reichard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791989 PECOS PAC ID: 7719307958 Enrollment ID: I20201009000121 |
| Provider Name | Arrifa Natalie Santana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245730118 PECOS PAC ID: 1355737040 Enrollment ID: I20220405003221 |
| Provider Name | Lashon Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205542230 PECOS PAC ID: 2264804590 Enrollment ID: I20230214000897 |
| Provider Name | Mera Marie Keh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942916895 PECOS PAC ID: 2365815743 Enrollment ID: I20230306001838 |
| Provider Name | Kevin Michael Xuereb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821790759 PECOS PAC ID: 4789047390 Enrollment ID: I20230830001484 |
| Provider Name | Naomi Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417721804 PECOS PAC ID: 5991149114 Enrollment ID: I20240215002960 |
| Provider Name | Diana I Pekisheva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386410710 PECOS PAC ID: 7315380045 Enrollment ID: I20240524003113 |
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Sarah Demarco, Psy.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 County Rd, 106, Tenafly, NJ 07670 Phone: 732-600-5329 | |
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