Organization Active NPI

Regional Psychiatric Group, PA

  • Psychiatry Physician
  • Skillman, NJ
National Provider Identifier
1629264783
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MA43184 Issued in NJ
Legal business name
REGIONAL PSYCHIATRIC GROUP, PA
Practice address
144 Tamarack Cir
Skillman, NJ 08558-2021
Phone
(609) 921-7382
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Jose S Vazquez, M.D.
Title
President
Phone
(609) 921-7382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MA43184 NJ Primary

Addresses

Primary practice location

144 Tamarack Cir
Skillman, NJ 08558-2021

Mailing address

1330 Route 206
Skillman, NJ 08558-1921
Phone (609) 921-7382

National Provider Directory

National Provider Directory

Locations

144 Tamarack Cir
Skillman, NJ 08558
Phone (609) 921-2201

1330 Route 206
#316
Skillman, NJ 08558

1330 Route 206
Skillman, NJ 08558

Practitioners & affiliated clinicians

Practitioners 1

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1629264783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 ROUTE 206",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085581921",
            "telephone_number": "609-921-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 TAMARACK CIR",
            "city": "SKILLMAN",
            "state": "NJ",
            "postal_code": "085582021",
            "telephone_number": "609-921-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PSYCHIATRIC GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-921-7382",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA43184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skillman, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.