NPIMap

Organization Active NPI

East Orange Psychiatric Associates, LLP

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1508918590
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EAST ORANGE PSYCHIATRIC ASSOCIATES, LLP
Practice address
400 Stony Brook CT
Suite 1
Newburgh, NY 12550-6522
Phone
(845) 565-0600
Fax
(866) 733-1910
NPI assigned
Jan 18, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Todd Alvin Rochman, MDNPI 1558455832
Title
Practice Owner
Phone
(845) 565-0600

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 Worker 1041C0700X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

400 Stony Brook CT
Suite 1
Newburgh, NY 12550-6522

Mailing address

400 Stony Brook CT
Suite 1
Newburgh, NY 12550-6522
Phone (845) 565-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000280 NY Part B Supplier - Clinic/Group Practice 5890899819 Receives reassigned benefits from 12 practitioners
Practice locations: Newburgh, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2058954East Orange Psychiatric Associates, LLP400 Stony Brook Court, Newburgh, NY 12550Certificate of waiverMay 14, 2027

National Provider Directory

National Provider Directory

Locations

400 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 534-2900

400 Stony Brook Ct
Ste 1
Newburgh, NY 12550
Phone (845) 565-0400

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1508918590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STONY BROOK CT",
            "address_2": "SUITE 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506522",
            "telephone_number": "845-565-0600",
            "fax_number": "866-733-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STONY BROOK CT",
            "address_2": "SUITE 1",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125506522",
            "telephone_number": "845-565-0600",
            "fax_number": "866-733-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ORANGE PSYCHIATRIC ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "ROCHMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "845-565-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.