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KINGSBORO PSYCHIATRIC CENTER NPI 1720170087


NPI Information

NPI: 1720170087
Provider Name: KINGSBORO PSYCHIATRIC CENTER
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
24 LAUREL AVENUE
TENAFLY, NJ
ZIP 07670
Phone: (201) 568-5395
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KINGSBORO PSYCHIATRIC CENTER is a psychiatric hospital in Tenafly, 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. KINGSBORO PSYCHIATRIC CENTER NPI is 1720170087. The provider is registered as an organization entity type.

The provider's business location address is:

24 LAUREL AVENUE
TENAFLY, NJ
ZIP 07670
Phone: (201) 568-5395

The provider's authorized official is Dasen M. Brajkovic .
The authorized official title is Attending Physician and has the following contact phone number (718) 221-7391.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.


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

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.