NPIMap

Organization Active NPI

Palisade Behavioral Care, PA

  • Psychiatry Physician
  • West Orange, NJ
National Provider Identifier
1235247248
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PALISADE BEHAVIORAL CARE, PA
Practice address
50 Northfield Ave Ste 2
West Orange, NJ 07052-5320
Phone
(973) 731-7505
Fax
(973) 731-7513
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Dr. Devendra Kurani, MDNPI 1598875734
Title
Medical Director
Phone
(973) 731-7505

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

50 Northfield Ave Ste 2
West Orange, NJ 07052-5320

Mailing address

50 Northfield Ave Ste 2
West Orange, NJ 07052-5320
Phone (973) 731-7505

Other identifiers 1

IdentifierTypeStateIssuer
0104558MedicaidNJ

National Provider Directory

National Provider Directory

Locations

221 Palisade Ave
Jersey City, NJ 07306
Phone (201) 656-3116

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1235247248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NORTHFIELD AVE STE 2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525320",
            "telephone_number": "973-731-7505",
            "fax_number": "973-731-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NORTHFIELD AVE STE 2",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525320",
            "telephone_number": "973-731-7505",
            "fax_number": "973-731-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADE BEHAVIORAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A",
        "authorized_official_last_name": "KURANI",
        "authorized_official_first_name": "DEVENDRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "973-731-7505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104558",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.