ESSEX PSYCHIATRIC AND RECOVERY PC (NPI# 1902379001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902379001 |
| Entity Type | Organization |
| Organization Name | ESSEX PSYCHIATRIC AND RECOVERY PC |
| Practice Address |
101 Eisenhower Pkwy Ste 300 Roseland NJ 07068-1054 |
| Practice Telephone | 9737951260 |
| Practice Fax Number | 9737951259 |
| Mailing Telephone | 9737951260 |
| Mailing Fax Number | 9737951259 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | JEFFREY HALL (PRESIDENT) |
| Authorized Official Telephone | 9737951260 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
101 EISENHOWER PKWY STE 300 |
| City | ROSELAND |
| State | NJ |
| Zip Code | 07068-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568775211 | Kelly Kearns | Clinical Neuropsychologist | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2010-07-23 |
| 1740739846 | Lauren Goodwyn | Behavioral Analyst | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2016-09-29 |
| 1497104277 | Birlencare LLC | Home Health | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2016-06-13 |
| 1710368188 | Behavioral and Educational Solutions and Training of Nj, LLC | Psychiatric Residential Treatment Facility | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068-1054 | 2015-06-11 |
| 1285923573 | Jeffrey Hall | Psychiatry & Neurology | 101 Eisenhower Pkwy Ste 300, Roseland, NJ 07068 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496845 | Dheeraj Muddasani | Student in an Organized Health Care Education/Training Program | 43 Barretta Ct, Roseland, NJ 07068 | 2018-05-07 |
| 1477094472 | Shp V Roseland, LLC | Alzheimer Center (Dementia Center) | 345 Eagle Rock Avenue, Roseland, NJ 07068 | 2017-03-10 |
| 1699103663 | Jennifer Karen Lenci | Social Worker | 204 Eagle Rock Ave., Roseland, NJ 07068 | 2013-10-29 |
| 1083768469 | Elaine C Terry Garrod | Psychologist | 38 Roseland Avenue, Roseland, NJ 07068 | 2007-01-22 |
| 1750453833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 45 Eisenhower Pkwy, Roseland, NJ 07068 | 2006-11-14 |
| 1821184417 | Jami Marie Messina | Psychologist | 157 Eagle Roack Avenue, Roseland, NJ 07068 | 2006-10-04 |
| 1578663514 | Florinda R Mangahas | General Practice | 73 Monroe Ave, Roseland, NJ 07068 | 2006-09-22 |
| 1770687071 | Anthony Origlieri | Ophthalmology | 180 Harrison Ave, Roseland, NJ 07068 | 2006-09-08 |
| 1780620682 | Sami M Mamoun | Surgery | 204 Eagle Rock Avenue, Roseland, NJ 07068 | 2006-06-21 |
| 1033179403 | John Vicchio | Physical Therapist | 10 Eisenhower Parkway, Roseland, NJ 07068 | 2006-03-28 |
| Find all providers in zip 07068 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| 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.