Adult and Geriatric Psychiatry Care LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

25MA09952500 Issued in NJ

Legal business name

ADULT AND GERIATRIC PSYCHIATRY CARE LLC

Practice address

2048 Oak Tree Rd
Edison, NJ 08820

Phone

(732) 917-0600

Fax

(732) 909-2176

NPI assigned

Jul 11, 2018

Last updated

Jul 13, 2018By 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

Ritesh Amin, MDNPI 1689916108

Title

Owner

Phone

(732) 917-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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.

• Ritesh A Amin, M.D.

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1689916108
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1558847798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "732-917-0600",
            "fax_number": "732-909-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND GERIATRIC PSYCHIATRY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "RITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-917-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NJ",
            "license": "25MA09952500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Edison, NJ
• Providers in Edison, NJ by specialty
• Geriatric Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.