VA New Jersey Healthcare System

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

37CA00021700 Issued in NJ

Legal business name

VA NEW JERSEY HEALTHCARE SYSTEM

Practice address

151 Knollcroft Rd
Lyons, NJ 07939-5001

Phone

(908) 625-5635

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward James Doughty, CADC

Title

Maintainance Control Manager

Phone

(908) 252-9075

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861406860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MAIN ST",
            "address_2": "APT-76",
            "city": "SOUTH BOUND BROOK",
            "state": "NJ",
            "postal_code": "088801486",
            "telephone_number": "908-625-5635",
            "fax_number": "908-252-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KNOLLCROFT RD",
            "city": "LYONS",
            "state": "NJ",
            "postal_code": "079395001",
            "telephone_number": "908-625-5635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA NEW JERSEY HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGHTY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MAINTAINANCE CONTROL MANAGER",
        "authorized_official_telephone_number": "908-252-9075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NJ",
            "license": "37CA00021700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coral Del Mar Torres Ortiz, MA, BC-DMT
• David Forster Twitchell, D.M.D.
• U.S. Dept. of Veterans Affairs
• V.a. Transportation Network Foundation
• V.a.N.J.Healthcare System
• Vanj Health Care System
• Veteran Hospital
• Mark R Vogel, PSY.D.
• Hwai H Wang, RPH
• Jian Wang, M.D., PH.D.

• 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.