Psychiatric Consultation PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA09089100 Issued in NJ

Legal business name

PSYCHIATRIC CONSULTATION PC

Practice address

122 Plane St
1A
Boonton, NJ 07005-1760

Phone

(973) 224-5509

NPI assigned

Dec 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ghulam Murtaza Bajwa, MD

Title

Ceo

Phone

(973) 224-5509

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1144641028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PLANE ST",
            "address_2": "1A",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051760",
            "telephone_number": "973-224-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PLANE ST",
            "address_2": "1A",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051760",
            "telephone_number": "973-224-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "BAJWA",
        "authorized_official_first_name": "GHULAM",
        "authorized_official_middle_name": "MURTAZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-224-5509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09089100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Prasad, M.D.
• Primary Care Partners, LLC (Scaduto & Renz MDs- Primary Care Partners Affiliate)
• Prime Healthcare Services - Saint Clare's LLC (St. Clare's Behavioral Health)
• Alyssa Proietto, LCSW, NPT-C
• Promed Preferred NJ 2 PC (Health Atlast Boonton)
• Inbal Raz, MD
• Sandra M. Reiken, MSW, PHD
• Rella Counseling LLC
• Patricia M Renz, MD
• Kyle Rich

• Psychiatry Physician in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.