Nilda M Keene PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA055407 Issued in NJ

Legal business name

NILDA M KEENE PC

Practice address

622 Stokes Road
Suite C
Medford, NJ 08055

Phone

(609) 654-4990

Fax

(609) 654-4992

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Nilda M Keene, MD

Title

Director

Phone

(609) 953-5633

Specialties & licenses 1

Addresses

Other names 1

• Nild M Keene MD Other name

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1356461123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MEESHAWAY TRAIL",
            "city": "MEDFORD LAKES",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-956-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 STOKES ROAD",
            "address_2": "SUITE C",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "08055",
            "telephone_number": "609-654-4990",
            "fax_number": "609-654-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILDA M KEENE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "NILDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-953-5633",
        "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": "MA055407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nild M Keene MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatry Physician in Medford, NJ
• Providers in Medford, 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 Aug 7, 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.