Kingsboro Psychiatric Center

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

KINGSBORO PSYCHIATRIC CENTER

Practice address

24 Laurel Avenue
Tenafly, NJ 07670

Phone

(201) 568-5395

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dasen M. Brajkovic, MD

Title

Attending Physician

Phone

(718) 221-7391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720170087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 LAUREL AVENUE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-568-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LAUREL AVENUE",
            "city": "TENAFLY",
            "state": "NJ",
            "postal_code": "07670",
            "telephone_number": "201-568-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBORO PSYCHIATRIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAJKOVIC",
        "authorized_official_first_name": "DASEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "718-221-7391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire M Kim
• Eun-Joo Kim, MD
• Geeeun Kim, NURSE PRACTITIONER
• Jin Young Kim, M.D.
• Sunmee L. Kim, MD
• Kagendo Kithinji, M.D.
• Natalya Knafel, M.D.
• Rita Vinod Knause, MD
• Valdone E Knepa, MD
• Celina Kravic, PH.D.

• Psychiatric Hospital in Tenafly, NJ
• Providers in Tenafly, 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.