Jorge D Quintana MD

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

MA60018 Issued in NJ

Legal business name

JORGE D QUINTANA MD

Doing business as

Quintana Psychiatric Care

Practice address

1203 W Saint Georges Ave
1Floor Left Side Unit
Linden, NJ 07036-6167

Phone

(973) 715-1310

Fax

(908) 290-3105

NPI assigned

Oct 3, 2014

Last updated

Feb 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sonia Breda

Title

Practice Manager

Phone

(973) 715-1310

Specialties & licenses 1

Addresses

Other names 1

• Quintana Psychiatric Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge D Quintana, MD

  • Psychiatry Physician
  • Rahway, NJ
  • NPI 1326103128
  Medicare reassignment NPD
• Blaire Alexis Franklin, LAC

  • Mental Health Counselor
  • Linden, NJ
  • NPI 1659810927
  NPD (past)
• Benneth Ifeyanyi Mekoba, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Roselle, NJ
  • NPI 1205612678

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1124421268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 STANTON ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070653122",
            "telephone_number": "973-715-1310",
            "fax_number": "908-290-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W SAINT GEORGES AVE",
            "address_2": "1FLOOR LEFT SIDE UNIT",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070366167",
            "telephone_number": "973-715-1310",
            "fax_number": "908-290-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE D QUINTANA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "BREDA",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "973-715-1310",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "MA60018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quintana Psychiatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlos Jaramillo
• Shieldy Jean Louis, RN
• Rachele Jeanlouis
• Jersey Diagnostic Imaging, LLC
• Mieczyslaw Z Jez, MD
• Annette Josaphat
• Marie Dana Jules, LCSW
• Julies Home Health Aid Agency LLC
• K&P Transportation Services LLC
• Kabof Healthcare Services

• Behavior Analyst in Linden, NJ
• Providers in Linden, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.