Active NPI
Essex Psychiatric Center for Children & Adults LLC
- Child & Adolescent Psychiatry Physician
- Newark, NJ
National Provider Identifier
1396205563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- ESSEX PSYCHIATRIC CENTER FOR CHILDREN & ADULTS LLC
- Practice address
- 111 Central Ave
Newark, NJ 07102-1909 - Phone
- (201) 805-6046
- NPI assigned
- Mar 22, 2019
- Last updated
- Mar 23, 2019
- 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
- Dr. Sonia Demetrios, MD
- Title
- Medical Doctor
- Phone
- (201) 805-6046
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
111 Central Ave
Newark, NJ 07102-1909
Mailing address
38 Talbot St
Somerset, NJ 08873-4600
Phone (201) 805-6046
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553299200000",
"number": "1396205563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 TALBOT ST",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088734600",
"telephone_number": "201-805-6046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071021909",
"telephone_number": "201-805-6046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX PSYCHIATRIC CENTER FOR CHILDREN & ADULTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-23",
"status": "A",
"authorized_official_last_name": "DEMETRIOS",
"authorized_official_first_name": "SONIA",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "201-805-6046",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.