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STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI 1629155502


NPI Information

NPI: 1629155502
Provider Name: STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Other Name: ANCORA PSYCHIATRIC HOSPITAL

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
301 SPRING GARDEN RD
HAMMONTON, NJ
ZIP 08037
Phone: (609) 561-1700
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STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL is a psychiatric hospital in Hammonton, NJ. The provider is 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. STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL NPI is 1629155502. The provider is registered as an organization entity type.
The provider Other Name Is Ancora Psychiatric Hospital.

The provider's business location address is:

301 SPRING GARDEN RD
HAMMONTON, NJ
ZIP 08037-516
Phone: (609) 561-1700
Fax: (609) 561-1858

The provider's authorized official is David Roat .
The authorized official title is Medical Director and has the following contact phone number (609) 567-7300.

The enumeration date for this NPI number is 10/31/2006 and was last updated on 7/1/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1692705OTHERNEW JERSEYMEDICARE BILLING GROUP
2314005MEDICARE OSCAR/CERTIFICATIONNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.