Active NPI
Annklein Forensic Center
- Chronic Disease Hospital
- West Trenton, NJ
National Provider Identifier
1629189741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- License
- 25MAO5481000
- Legal business name
- ANNKLEIN FORENSIC CENTER
- Practice address
- 7717 Stuyvesant Avenue
West Trenton, NJ 08628 - Phone
- (609) 292-0048
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 14, 2008
- 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. Jay Cohen, MD
- Title
- Medical Director
- Phone
- (609) 633-0905
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | 25MAO5481000 | NJ | Primary |
Addresses
Primary practice location
7717 Stuyvesant Avenue
West Trenton, NJ 08628
Mailing address
325 Ridge Ave
Newtown, PA 18940-3611
Phone (215) 598-0568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4467001 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Vineland Developmental
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Practitioners & 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.
-
- Specialist
- West Trenton, NJ
- NPI 1306829379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1629189741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 RIDGE AVE",
"city": "NEWTOWN",
"state": "PA",
"postal_code": "189403611",
"telephone_number": "215-598-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 STUYVESANT AVENUE",
"city": "WEST TRENTON",
"state": "NJ",
"postal_code": "08628",
"telephone_number": "609-292-0048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNKLEIN FORENSIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "609-633-0905",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "NJ",
"license": "25MAO5481000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4467001",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Trenton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.