Organization Active NPI

North Jersey Psychiatry Associates LLC

  • Psychiatry Physician
  • Wayne, NJ
National Provider Identifier
1104086909
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA08184300 Issued in NJ
Legal business name
NORTH JERSEY PSYCHIATRY ASSOCIATES LLC
Practice address
2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251
Phone
(973) 839-2945
Fax
(973) 839-1244
NPI assigned
Jun 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Cecilia Saixi Wang, M.D., PH.D.NPI 1083780753
Title
Manager/Owner
Phone
(201) 282-7299

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA08184300 NJ Primary

Addresses

Primary practice location

2035 Hamburg Tpke
Suite M
Wayne, NJ 07470-6251

Mailing address

2035 Hamburg Tpke
Suite M
Wayne, NJ 07470
Phone (973) 839-2945

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherSSN
0144321MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090202000384 NJ Part B Supplier - Clinic/Group Practice 0547324972 Receives reassigned benefits from 3 practitioners
Practice locations: Pompton Plains, NJ; Wayne, NJ; Wyckoff, NJ

National Provider Directory

National Provider Directory

Locations

131 Main St
Newton, NJ 07860
Phone (973) 383-1185

2035 Hamburg Tpke
Ste M
Wayne, NJ 07470
Phone (973) 839-2945

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1104086909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE",
            "address_2": "SUITE M",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "973-839-2945",
            "fax_number": "973-839-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 HAMBURG TPKE",
            "address_2": "SUITE M",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074706251",
            "telephone_number": "973-839-2945",
            "fax_number": "973-839-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PSYCHIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-15",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "SAIXI",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "201-282-7299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08184300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144321",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.