NPIMap

Organization Active NPI

North Jersey Behavioral Medicine

  • Adult Mental Health Clinic/Center
  • Fort Lee, NJ
National Provider Identifier
1326214149
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
37PC00296100 Issued in NJ
Legal business name
NORTH JERSEY BEHAVIORAL MEDICINE
Practice address
2 Executive Dr
Suite 665
Fort Lee, NJ 07024-3308
Phone
(201) 669-2880
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Mona S Ismail, MDNPI 1053355834
Title
Adult and Pediatric Psychiatrist
Phone
(201) 669-2880

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
Adult Mental Health Clinic/Center 261QM0850X 37PC00296100 NJ Primary

Addresses

Primary practice location

2 Executive Dr
Suite 665
Fort Lee, NJ 07024-3308

Mailing address

2 Executive Dr
Suite 665
Fort Lee, NJ 07024-3308

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1326214149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE DR",
            "address_2": "SUITE 665",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE DR",
            "address_2": "SUITE 665",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070243308",
            "telephone_number": "201-669-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADULT AND PEDIATRIC PSYCHIATRIST",
        "authorized_official_telephone_number": "201-669-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "37PC00296100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.