Child, Adolescent and Adult Psychiatric Care LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CHILD, ADOLESCENT AND ADULT PSYCHIATRIC CARE LLC

Practice address

42 N Grant Ave
Colonia, NJ 07067-2208

Phone

(848) 999-9756

NPI assigned

Mar 22, 2024

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Syed Jawad Tirmazi, MDNPI 1073656419

Title

Sole Owner Provider

Phone

(848) 999-9756

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Syed Jawad Tirmazi, M.D.

  • Child & Adolescent Psychiatry Physician
  • Colonia, NJ
  • NPI 1073656419
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1376393587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N GRANT AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672208",
            "telephone_number": "848-999-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N GRANT AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070672208",
            "telephone_number": "848-999-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD, ADOLESCENT AND ADULT PSYCHIATRIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "TIRMAZI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "JAWAD",
        "authorized_official_title_or_position": "SOLE OWNER PROVIDER",
        "authorized_official_telephone_number": "848-999-9756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parth Champaneri
• Neelam Charaipotra, MD
• Jigisha Shankarbhai Chaudhary, M.B.B.S
• Chetankumar Keshavbhai Chauhan, MD
• Lolita L Chew
• Nashwa Choudhry, PHARM D
• Coastline Chiropractic, P.C.
• Colonia Care Pharmacy
• Colonia Dental Associates LLC
• Colonia Dental Group

• Adolescent and Children Mental Health Clinic/Center in Colonia, NJ
• Providers in Colonia, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.