Organization Active NPI

North Jersey Psychiatry,Inc

  • Point of Service
  • West New York, NJ
National Provider Identifier
1831468263
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MA71572 Issued in NJ
Legal business name
NORTH JERSEY PSYCHIATRY,INC
Practice address
5912 Palisade Ave
West New York, NJ 07093-2112
Phone
(201) 861-0077
Fax
(201) 861-9595
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Dr. Daniel Rene Sanchez, M.D.
Title
President
Phone
(201) 861-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MA71572 NJ Primary

Addresses

Primary practice location

5912 Palisade Ave
West New York, NJ 07093-2112

Mailing address

31 W Ruby Ave
Palisades Park, NJ 07650-1008
Phone (201) 861-0077

Other identifiers 1

IdentifierTypeStateIssuer
8428409MedicaidNJ

National Provider Directory

National Provider Directory

Locations

5912 Palisade Ave
West New York, NJ 07093
Phone (201) 861-0077

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1831468263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W RUBY AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501008",
            "telephone_number": "201-861-0077",
            "fax_number": "201-861-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 PALISADE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070932112",
            "telephone_number": "201-861-0077",
            "fax_number": "201-861-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY PSYCHIATRY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-861-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "MA71572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8428409",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.