Organization Active NPI

Branford Psychiatric Associates PC

  • Psychiatry Physician
  • Newark, NJ
National Provider Identifier
1295002343
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA07430700 Issued in NJ
Legal business name
BRANFORD PSYCHIATRIC ASSOCIATES PC
Practice address
23 Branford PL
Newark, NJ 07102-2711
Phone
(973) 424-0080
Fax
(973) 424-0088
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Edward Shalts, MD
Title
MD
Phone
(973) 424-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 25MA07430700 NJ Primary

Addresses

Primary practice location

23 Branford PL
Newark, NJ 07102-2711

Mailing address

23 Branford PL
Newark, NJ 07102-2711
Phone (973) 424-0080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1295002343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 BRANFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022711",
            "telephone_number": "973-424-0080",
            "fax_number": "973-424-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BRANFORD PL",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071022711",
            "telephone_number": "973-424-0080",
            "fax_number": "973-424-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANFORD PSYCHIATRIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SHALTS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "973-424-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07430700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.