Active NPI
Eddy O. Ortega, M.D.
- Psychiatric Hospital
- Hammonton, NJ
National Provider Identifier
1104967520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 25MA05943600
- Practice address
- 301 Spring Garden Rd
Hammonton, NJ 08037-2516 - Phone
- (609) 651-1700
- NPI assigned
- Feb 9, 2007
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 25MA05943600 | NJ | Primary |
Addresses
Primary practice location
301 Spring Garden Rd
Hammonton, NJ 08037-2516
Mailing address
1604 47TH St
Pennsauken, NJ 08110-4138
Phone (609) 561-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D06293600 | Other | NJ | CDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05943600 | NJ | MD | Psychiatric Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New Jersey Omb Centralized Payroll | Psychiatric Hospital | Current | Accepting new patients |
| State of New Jersey Omb Centralized Payroll | Psychiatric Hospital | Current | Accepting new patients |
Locations
301 Spring Garden Rd
Hammonton, NJ 08037
Phone (609) 561-1700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Greystone Park Psychiatric Hospital
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
- Psychiatric Hospital
- Hammonton, NJ
- NPI 1629155502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1104967520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 47TH ST",
"city": "PENNSAUKEN",
"state": "NJ",
"postal_code": "081104138",
"telephone_number": "609-561-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SPRING GARDEN RD",
"city": "HAMMONTON",
"state": "NJ",
"postal_code": "080372516",
"telephone_number": "609-651-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "EDDY",
"middle_name": "O.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NJ",
"license": "25MA05943600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS",
"identifier": "D06293600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.