Marina Behavioral Health Care LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08679700 Issued in NJ

Legal business name

MARINA BEHAVIORAL HEALTH CARE LLC

Practice address

401 Hamburg Tpke
Suite # 302
Wayne, NJ 07470-2154

Phone

(862) 221-2604

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Marina Haghour-Vwich, MD

Title

Owner

Phone

(862) 221-2604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1316384662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2285",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074742285",
            "telephone_number": "862-221-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HAMBURG TPKE",
            "address_2": "SUITE # 302",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702154",
            "telephone_number": "862-221-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "HAGHOUR-VWICH",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-221-2604",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08679700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rose Maniaci I
• Marcia Laky PHD
• Guy E. Margolin, D.C.
• Mari Care LLC
• Maria Elena Psychological
• Cameron Marino
• Mark E Maletsky, M.D. P.a.
• Markies Place Inc
• Martin Lawrence Marks, D.M.D.
• Michael Paul Marolla, D.P.T.

• Psychiatry Physician in Wayne, NJ
• Providers in Wayne, 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 May 28, 2013; 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.