Kingsboro Psychiatric Center in Tenafly - Psychiatric Hospital
Kingsboro Psychiatric Center - NPI 1720170087
Kingsboro Psychiatric Center is a Psychiatric Hospital in Tenafly, New Jersey. Kingsboro Psychiatric Center practices all healthcare services and medical treatments related to Psychiatric Hospital. The NPI Number for Kingsboro Psychiatric Center is 1720170087. The last update date is 2020-08-22.
Kingsboro Psychiatric Center's current location address is 24 Laurel Avenue, Tenafly, New Jersey. You can contact this provider via phone number 2015685395. The mailing address for Kingsboro Psychiatric Center is 24 Laurel Avenue, Tenafly, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kingsboro Psychiatric Center |
|---|---|
| Address | 24 Laurel Avenue, Tenafly, New Jersey |
| Phone Number | 2015685395 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ATTENDING |
|---|---|
| Authorized Official Name | Brajkovic M. Dasen |
| Credentials | MD |
| Telephone Number | 7182217391 |
NPI Number Detail
| NPI Number | 1720170087 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 24 Laurel Avenue |
|---|---|
| City | Tenafly |
| State | New Jersey (NJ) |
| Post Code | 7670 |
| Phone Number | 2015685395 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric Hospital |
|---|---|
| Taxonomy | 283Q00000X |
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Definition: 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. |
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What is the unique identification code assigned to Kingsboro Psychiatric Center by the Centers for Medicare & Medicaid Services?
The Kingsboro Psychiatric Center has been issued the NPI (National Provider Identifier) 1720170087. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kingsboro Psychiatric Center is physically located?
The Kingsboro Psychiatric Center is physically situated at the following address: 24 Laurel Avenue, Tenafly, NJ, 7670.
What is Kingsboro Psychiatric Center's area of expertise and its corresponding taxonomy classification?
The Kingsboro Psychiatric Center's field of specialization is Psychiatric Hospital, and it falls under the taxonomy code 283Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720170087 to Kingsboro Psychiatric Center?
The Centers for Medicare & Medicaid Services originally issued the 1720170087 to Kingsboro Psychiatric Center on 2006-09-28.
As of what date were the details related to Kingsboro Psychiatric Center most recently updated or revised?
The information pertaining to Kingsboro Psychiatric Center, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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