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ANNKLEIN FORENSIC CENTER NPI 1629189741


NPI Information

NPI: 1629189741
Provider Name: ANNKLEIN FORENSIC CENTER
Classification: Chronic Disease Hospital - 281P00000X
Entity Type: Organization

CLIA Number: 31D0923612

Address:
7717 STUYVESANT AVENUE
WEST TRENTON, NJ
ZIP 08628
Phone: (609) 292-0048
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ANNKLEIN FORENSIC CENTER is a chronic disease hospital in West Trenton, NJ. The provider is (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. ANNKLEIN FORENSIC CENTER NPI is 1629189741. The provider is registered as an organization entity type.

The provider's business location address is:

7717 STUYVESANT AVENUE
WEST TRENTON, NJ
ZIP 08628
Phone: (609) 292-0048

The provider's authorized official is Jay Cohen .
The authorized official title is Medical Director and has the following contact phone number (609) 633-0905.

The CLIA number assigned to this NPI record is 31D0923612 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/14/2008.


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
1281P00000XChronic Disease Hospital25MAO5481000NEW JERSEYYes

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
14467001MEDICAIDNEW JERSEY
2F69452MEDICARE UPINNEW JERSEY
3TR436028MEDICARE ID-TYPE UNSPECIFIEDNEW 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

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