Organization Active NPI

Psychiatric Associates of North Jersey, Inc

  • Prescribing (Medical) Psychologist
  • Paramus, NJ
National Provider Identifier
1770721854
Registry record updated Feb 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
PSYCHIATRIC ASSOCIATES OF NORTH JERSEY, INC
Practice address
288 Leonard PL
Paramus, NJ 07652-4517
Phone
(201) 262-4311
Fax
(201) 262-4311
NPI assigned
Jan 28, 2009
Last updated
Feb 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2009

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

Authorized official

Name
Ms. Muhammad Rehan Ghani, SAMAR ABRAR MDNPI 1699861443
Title
Office Manager
Phone
(732) 672-5767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) Psychologist 103TP0016X Primary

Addresses

Primary practice location

288 Leonard PL
Paramus, NJ 07652-4517

Mailing address

288 Leonard PL
Paramus, NJ 07652-4517
Phone (201) 262-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000289 NJ Part B Supplier - Clinic/Group Practice 7810054657 Receives reassigned benefits from 2 practitioners
Practice locations: West Orange, NJ; Wayne, NJ; Woodcliff Lake, NJ; West Caldwell, NJ; Paramus, NJ; Rivervale, NJ; Franklin Lakes, NJ

National Provider Directory

National Provider Directory

Locations

1440 Hamburg Tpke
Wayne, NJ 07470
Phone (973) 832-0707

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1770721854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 LEONARD PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524517",
            "telephone_number": "201-262-4311",
            "fax_number": "201-262-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 LEONARD PL",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524517",
            "telephone_number": "201-262-4311",
            "fax_number": "201-262-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC ASSOCIATES OF NORTH JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "REHAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "732-672-5767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SAMAR ABRAR MD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.