STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL (NPI# 1467552240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467552240 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL |
| Other Organization Name | TRENTON PSYCHIATRIC HOSPITAL |
| Practice Address |
101 Sullivan Way Trenton NJ 08628-3425 |
| Practice Telephone | 6096331562 |
| Practice Fax Number | 6096338527 |
| Mailing Telephone | 6096331562 |
| Mailing Fax Number | 6096338527 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | EVAN FIEBUSCH (PSYCHIATRIST) |
| Authorized Official Telephone | 6096331563 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | NJ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE GROUP BILLING | 692713 | 01 |
| Other Name | Type Code |
|---|---|
| Trenton Psychiatric Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487680294 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1275 Rahway Avenue, Avenel, NJ 07095-0189 | 2006-06-23 |
| 1255375929 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Rte 72 East, New Lisbon, NJ 08064-0130 | 2006-06-15 |
| 1811931504 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 40 Pittstown Rd, Clinton, NJ 08809-1209 | 2006-06-15 |
| 1588607725 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1676 E Landis Ave, Vineland, NJ 08362-1513 | 2006-06-14 |
| 1225077290 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 275 Greenbrook Rd, Green Brook, NJ 08812-2223 | 2006-06-05 |
| 1922046903 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 169 Minnisink Rd, Totowa, NJ 07512-1803 | 2006-06-03 |
| 1982642641 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1175 Dehirsch Ave, Woodbine, NJ 08270-2401 | 2006-06-03 |
| 1356734271 | State of New Jersey Omb Centralized Payroll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 275 Greenbrook Rd, Green Brook, NJ 08812-2223 | 2015-03-17 |
| 1528239274 | State of New Jersey Omb Centralized Payroll | Skilled Nursing Facility | 132 Evergreen Rd, Edison, NJ 08837-2484 | 2008-03-20 |
| 1629155502 | State of New Jersey Omb Centralized Payroll | Psychiatric Hospital | 301 Spring Garden Rd, Hammonton, NJ 08037-2516 | 2006-10-31 |
| Street Address |
101 SULLIVAN WAY |
| City | TRENTON |
| State | NJ |
| Zip Code | 08628-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093813735 | Lawrence Nicholas Rossi | Psychiatry & Neurology | 101 Sullivan Way, Trenton Psychiatric Hospital, Trenton, NJ 08628-0500 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1639546930 | Clear Conscience Counseling | Psychiatric Hospital | 214 Brennan Ct, South Plainfield, NJ 07080-3974 | 2015-08-21 |
| 1750794061 | Trinitas Regional Medical Center | Psychiatric Hospital | 119 E 13th St, Linden, NJ 07036-3314 | 2014-06-04 |
| 1770717100 | Manhattan Psy.ctr | Psychiatric Hospital | 346 Mercer Loop, Jersey City, NJ 07302-3235 | 2009-05-13 |
| 1891817433 | Princeton Medical Center | Psychiatric Hospital | 351 New Albany Rd, Moorestown, NJ 08057-1117 | 2007-04-04 |
| 1053470047 | Hudson Co Board of Chosen Freehold Admin | Psychiatric Hospital | 595 County Ave Bldg 10, Secaucus, NJ 07094-2605 | 2006-12-06 |
| 1851474647 | Ann Klein Forensic Center | Psychiatric Hospital | 1609 Stuyvesant Ave., Box 7717, West Trenton, NJ 08628 | 2006-10-23 |
| 1720170087 | Kingsboro Psychiatric Center | Psychiatric Hospital | 24 Laurel Avenue, Tenafly, NJ 07670 | 2006-09-28 |
| 1689682478 | U.S. Dept. of Veterans Affairs | Psychiatric Hospital | 155 Knollcroft Rd, Building 143,room Wii8, Lyons, NJ 07939-5001 | 2006-08-04 |
| 1457324196 | Uhs of Hampton Inc | Psychiatric Hospital | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2006-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.