Organization Active NPI

Raritan Valley Psychiatric Care PC

  • Adult Mental Health Clinic/Center
  • Bound Brook, NJ
National Provider Identifier
1841404282
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RARITAN VALLEY PSYCHIATRIC CARE PC
Practice address
105 E Union Ave
Suite 230
Bound Brook, NJ 08805-1713
Phone
(732) 469-7899
Fax
(732) 563-9922
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Authorized official

Name
Dr. Ella Friedman, M.D.NPI 1255459475
Title
President
Phone
(732) 469-7899

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

105 E Union Ave
Suite 230
Bound Brook, NJ 08805-1713

Mailing address

105 E Union Ave
Suite 230
Bound Brook, NJ 08805-1713
Phone (732) 469-7899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130702000286 NJ Part B Supplier - Clinic/Group Practice 3375783962 Receives reassigned benefits from 1 practitioner
Practice locations: Bound Brook, NJ

National Provider Directory

National Provider Directory

Locations

105 E Union Ave
Ste 230
Bound Brook, NJ 08805
Phone (732) 469-7899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372118400000",
    "number": "1841404282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E UNION AVE",
            "address_2": "SUITE 230",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-469-7899",
            "fax_number": "732-563-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E UNION AVE",
            "address_2": "SUITE 230",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051713",
            "telephone_number": "732-469-7899",
            "fax_number": "732-563-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARITAN VALLEY PSYCHIATRIC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-06-25",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-469-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.