CANTERBURY BEHAVIORAL HEALTH PC (NPI# 1821377136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821377136 |
| Entity Type | Organization |
| Organization Name | CANTERBURY BEHAVIORAL HEALTH PC |
| Practice Address |
176 Palisade Avenue Jersey City NJ 07306-1196 |
| Mailing Address |
66 W Gilbert St 2nd Floor Tinton Falls NJ 07701-4947 |
| Practice Telephone | 2017958637 |
| Practice Fax Number | 2017958223 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120713 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | MR. GEORGE A POPKO (EVP / CFO) |
| Authorized Official Telephone | 2017958637 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
176 PALISADE AVENUE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396856696 | David Kenigsberg | Emergency Medicine | 176 Palisade Avenue, Christ Hospital, Jersey City, NJ 07306 | 2006-08-31 |
| 1699922856 | Syed Iftikhar Ahmed Kazmi | Internal Medicine | 176 Palisade Avenue, Jersey City, NJ 07306-1121 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720297963 | Damon Deckelman Delston | Psychiatry & Neurology | 665 Newark Avenue, Jersey City, NJ 07306 | 2007-05-22 |
| 1770662140 | Leo Antiga Dela Cruz | Psychiatry & Neurology | 142 Palisado Ave, Suite 105, Jersey City, NJ 07306 | 2006-11-04 |
| 1033218631 | Ritu Chandak | Psychiatry & Neurology | 395 Grand St, Jersey City, NJ 07302-4238 | 2006-09-21 |
| 1184728800 | Gita Parikh | Psychiatry & Neurology | 3368 Kennedy Blvd, Jersey City, NJ 07307 | 2006-09-12 |
| 1235247248 | Palisade Behavioral Care, Pa | Psychiatry & Neurology | 221 Palisade Ave, Palisade Behavioral Care, Jersey City, NJ 07306 | 2006-08-29 |
| 1649289646 | Edward Ratush | Psychiatry & Neurology | 249 8th St, Jersey City, NJ 07302-2021 | 2006-08-07 |
| 1639778301 | Alimata Sore Ouedraogo | Psychiatry & Neurology | 176 Palisade Ave, Jersey City, NJ 07306 | 2020-10-22 |
| 1235445198 | Aparna Nimish Raote | Psychiatry & Neurology | 355 Grand St, Jersey City, NJ 07302-4321 | 2010-08-29 |
| 1396056065 | Imran Ahmed Jamil | Psychiatry & Neurology | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2010-06-28 |
| 1386968501 | Stephen Bischoff | Psychiatry & Neurology | 395 Grand St, Jersey City, NJ 07302-4238 | 2010-03-17 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
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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.