Active NPI
North Jersey Psychiatry Associates LLC
- Psychiatry Physician
- Wayne, NJ
National Provider Identifier
1104086909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 25MA08184300
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | SSN | |
| 0144321 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Wayne, NJ
- NPI 1083780753
-
- Clinical Social Worker
- Morristown, NJ
- NPI 1790815108
-
- Clinical Social Worker
- Montclair, NJ
- NPI 1265519961
-
- Psychiatry Physician
- Old Bridge, NJ
- NPI 1447334859
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
- North Jersey Oral Surgeons, P.a.
- North Jersey Pain Management Center,LLC.
- North Jersey Pediatric Orthopaedic Specialists, LLC
- North Jersey Physical Therapy Group LLC
- North Jersey Psychiatric Serivces LLC
- North Jersey Rehab LLC
- North Jersey Spine Group LLC
- North Jersey Therapy Center LLC
- North Jersey Therapy Center LLC
- North Jersey Vascular Center, LLC
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.