New Jersey Family Psychiatric Group, PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MA57877 Issued in NJ

Legal business name

NEW JERSEY FAMILY PSYCHIATRIC GROUP, PA

Doing business as

Njfpg

Practice address

6 Forest Ave
Paramus, NJ 07652-5241

Phone

(201) 587-7850

Fax

(201) 587-0707

NPI assigned

Jan 17, 2007

Last updated

Jul 15, 2008By 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

Dr. David A Mitnick, MD

Title

MD

Phone

(201) 587-7850

Specialties & licenses 1

Addresses

Other names 1

• NJFPG Doing business as

Locations

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1639221161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-587-7850",
            "fax_number": "201-587-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525241",
            "telephone_number": "201-587-7850",
            "fax_number": "201-587-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY FAMILY PSYCHIATRIC GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MITNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "201-587-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MA57877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJFPG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.