New Age Psychiatry LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

NEW AGE PSYCHIATRY LLC

Practice address

480 Jackson Rd
Atco, NJ 08004-1651

Phone

(856) 767-5020

Fax

(856) 768-3541

NPI assigned

Jan 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Safeer A Ansari, D.O.

Title

Doctor

Phone

(918) 810-7864

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1023430600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SADDLEBURY CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549628",
            "telephone_number": "918-810-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 JACKSON RD",
            "city": "ATCO",
            "state": "NJ",
            "postal_code": "080041651",
            "telephone_number": "856-767-5020",
            "fax_number": "856-768-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "SAFEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-810-7864",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Atco, NJ
• Providers in Atco, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.