NPIMap

Organization Active NPI

Mavida Care Group of New Jersey PC

  • Psychiatry Physician
  • Neptune, NJ
National Provider Identifier
1396516977
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MAVIDA CARE GROUP OF NEW JERSEY PC
Doing business as
Mavida Health
Practice address
3600 Route 66 Ste 150
Neptune, NJ 07753-2645
Phone
(628) 432-7476
Fax
(888) 385-7037
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Sarah Oreck, MDNPI 1215356118
Title
Ceo/Psychiatrist
Phone
(628) 432-7476

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3600 Route 66 Ste 150
Neptune, NJ 07753-2645

Mailing address

5120 Woodley Ave
Encino, CA 91436-1443
Phone (628) 432-7476

Other names 1

  • Mavida Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1396516977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WOODLEY AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361443",
            "telephone_number": "628-432-7476",
            "fax_number": "888-385-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 ROUTE 66 STE 150",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077532645",
            "telephone_number": "628-432-7476",
            "fax_number": "888-385-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVIDA CARE GROUP OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ORECK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO/PSYCHIATRIST",
        "authorized_official_telephone_number": "628-432-7476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mavida Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mavida Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neptune, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.