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530 New Brunswick Ave Perth Amboy NJ 08861-3654 | |
| (410) 818-6014 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 530 New Brunswick Ave, Perth Amboy, New Jersey |
| Authorized Official Name and Position | Usman Ahmed (OWNER) |
| Authorized Official Contact | 6468830734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 Liberty Plz Ste 2301 New York NY 10006-1428 Ph: (646) 883-0734 | 530 New Brunswick Ave Perth Amboy NJ 08861-3654 Ph: (410) 818-6014 |
| NPI Number | 1861071581 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 2365980414 |
|---|---|
| Medicare Enrollment ID | O20240820002681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861071581 | NPI | - | NPPES |
| 1639533276 | Other | NY | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Usman Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639533276 PECOS PAC ID: 0244658102 Enrollment ID: I20221014001590 |
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