Individual provider Active NPI

Eddy O. Ortega, M.D.

  • Psychiatric Hospital
  • Hammonton, NJ
National Provider Identifier
1104967520
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
25MA05943600 Issued in NJ
Practice address
301 Spring Garden Rd
Hammonton, NJ 08037-2516
Phone
(609) 651-1700
NPI assigned
Feb 9, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
D06293600OtherNJCDS

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA05943600NJMDPsychiatric Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll Psychiatric Hospital CurrentSince Nov 13, 2001 Accepting new patients
State of New Jersey Omb Centralized Payroll Psychiatric Hospital CurrentSince Nov 13, 2001 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.

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

Verify at the official NPI Registry.