Active NPI
Somerset Medical Center Behavioral Health Unit
- Psychiatric Hospital Unit
- Somerville, NJ
National Provider Identifier
1649309386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 11802
- Legal business name
- SOMERSET MEDICAL CENTER BEHAVIORAL HEALTH UNIT
- Practice address
- 110 Rehill Ave
Somerville, NJ 08876-2519 - Phone
- (908) 704-3795
- Fax
- (908) 252-4056
- NPI assigned
- Mar 5, 2007
- 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
- Mr. Brian O'Neill, CPA
- Title
- VP of Financial Operations & Cfo
- Phone
- (908) 685-2807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 11802 | NJ | Primary |
Addresses
Primary practice location
110 Rehill Ave
Somerville, NJ 08876-2519
Mailing address
110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 704-3795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4138406 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649309386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519",
"telephone_number": "908-704-3795",
"fax_number": "908-252-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 REHILL AVE",
"city": "SOMERVILLE",
"state": "NJ",
"postal_code": "088762519",
"telephone_number": "908-704-3795",
"fax_number": "908-252-4056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOMERSET MEDICAL CENTER BEHAVIORAL HEALTH UNIT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "VP OF FINANCIAL OPERATIONS & CFO",
"authorized_official_telephone_number": "908-685-2807",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "NJ",
"license": "11802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4138406",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, NJ
- Somerset Internal Medicine & Pulmonary Associates,LLC
- Somerset Medical Care Partners,PC
- Somerset Medical Center
- Somerset Medical Center
- Somerset Medical Center
- Somerset Medical Center Urgent Care, PC
- Somerset Oral & Maxillofacial Surgery Group
- Somerset Pathology Associates, LLC
- Somerset Psychological Group, PA
- Somerset Surgical Associates,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.