U.S. Dept. of Veterans Affairs

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

46TR00254000 Issued in NJ

Legal business name

U.S. DEPT. OF VETERANS AFFAIRS

Doing business as

V.A. N.J. HEALTH CARE SYSTEM

Practice address

155 Knollcroft Rd
Building 143,Room Wii8
Lyons, NJ 07939-5001

Phone

(908) 647-0180

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chae Im, M.D.

Title

Chief,Physical Medicine Rehab Servi

Phone

(973) 676-1000

Specialties & licenses 1

Addresses

Other names 1

• V.A. N.J. HEALTH CARE SYSTEM Doing business as

Locations

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689682478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 KNOLLCROFT RD",
            "address_2": "BUILDING 143,ROOM WII8",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001",
            "telephone_number": "908-647-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 KNOLLCROFT RD",
            "address_2": "BUILDING 143,ROOM WII8",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001",
            "telephone_number": "908-647-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. DEPT. OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IM",
        "authorized_official_first_name": "CHAE",
        "authorized_official_title_or_position": "CHIEF,PHYSICAL MEDICINE REHAB SERVI",
        "authorized_official_telephone_number": "973-676-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": "46TR00254000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V.A. N.J. HEALTH CARE SYSTEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bindhu Kanjiravilayil Thomas, M.D.
• Jan Jy-Yean Tien, PHARMD
• Laurie J. Tomaino, CTRS
• Coral Del Mar Torres Ortiz, MA, BC-DMT
• David Forster Twitchell, D.M.D.
• V.a. Transportation Network Foundation
• V.a.N.J.Healthcare System
• VA New Jersey Healthcare System
• Vanj Health Care System
• Veteran Hospital

• Psychiatric Hospital in Lyons, NJ
• Providers in Lyons, NJ by specialty
• Psychiatric Hospital in New Jersey

• 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.

Verify at the official NPI Registry.