State of New Jersey Omb Centralized Payroll

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL

Practice address

200 Sanatorium Rd
Glen Gardner, NJ 08826-3288

Phone

(908) 537-2141

Fax

(908) 537-3100

NPI assigned

Jun 10, 2006

Last updated

Mar 27, 2008By 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

Ms. Ayala Mercedes

Title

Business Manager

Phone

(908) 537-2141

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hagedorn Psychiatric Hospital Other name

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1386686053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SANATORIUM RD",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263288",
            "telephone_number": "908-537-2141",
            "fax_number": "908-537-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANATORIUM RD",
            "city": "GLEN GARDNER",
            "state": "NJ",
            "postal_code": "088263288",
            "telephone_number": "908-537-2141",
            "fax_number": "908-537-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MERCEDES",
        "authorized_official_first_name": "AYALA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "908-537-2141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "692717",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4508203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hagedorn Psychiatric Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aurora Maranan Paranal, M.D.
• Anne Vivien Piazza, LPC, LCADC, CCS
• Zeus Hito T Quijano Sr., MD
• Laura Rosman, RD
• Keith William Skinner, ATC
• The Ajoe Center
• Marissa Laurene Thorsen, RDN
• Svetlana Volskaya
• Helen Tamuno-Tonye West, MD
• Travis John Wranitz, LPC

• Psychiatric Hospital in Glen Gardner, NJ
• Providers in Glen Gardner, NJ by specialty
• Psychiatric Hospital in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.