Active NPI
Ophelia Medical Group NJ PC
- Psychiatry Physician
- Flanders, NJ
National Provider Identifier
1346906179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- OPHELIA MEDICAL GROUP NJ PC
- Practice address
- 230 US Highway 206
Building 3, Suite #4
Flanders, NJ 07836-9287 - Phone
- (215) 585-2144
- Fax
- (833) 228-5591
- NPI assigned
- Nov 16, 2021
- Last updated
- Mar 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arthur R Williams, MD
- Title
- Cmo
- Phone
- (347) 857-8015
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
230 US Highway 206
Building 3, Suite #4
Flanders, NJ 07836-9287
Mailing address
228 Park Ave S Ste 15314
New York, NY 10003-1502
Phone (215) 585-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
230 US Highway 206
Ste 4
Flanders, NJ 07836
Practitioners & affiliated clinicians
Practitioners 46
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Flanders, NJ
- NPI 1174078976
-
- Internal Medicine Physician
- South Amboy, NJ
- NPI 1003438870
-
- Addiction Psychiatry Physician
- New York, NY
- NPI 1063739985
Multi-Specialty, NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1346906179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PARK AVE S STE 15314",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502",
"telephone_number": "215-585-2144",
"fax_number": "833-228-5591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 US HIGHWAY 206",
"address_2": "BUILDING 3, SUITE #4",
"city": "FLANDERS",
"state": "NJ",
"postal_code": "078369287",
"telephone_number": "215-585-2144",
"fax_number": "833-228-5591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHELIA MEDICAL GROUP NJ PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-16",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CMO",
"authorized_official_telephone_number": "347-857-8015",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flanders, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.