Organization Active NPI

Essex Psychiatric and Recovery PC

  • Adult Mental Health Clinic/Center
  • Roseland, NJ
National Provider Identifier
1902379001
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
ESSEX PSYCHIATRIC AND RECOVERY PC
Practice address
101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054
Phone
(973) 795-1260
Fax
(973) 795-1259
NPI assigned
Jan 10, 2019
Last updated
Jan 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Jeffrey Hall, MDNPI 1285923573
Title
President
Phone
(973) 795-1260

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Addiction Psychiatry Physician 2084P0802X NU

Addresses

Primary practice location

101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054

Mailing address

101 Eisenhower Pkwy Ste 300
Roseland, NJ 07068-1054
Phone (973) 795-1260

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1902379001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY STE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681054",
            "telephone_number": "973-795-1260",
            "fax_number": "973-795-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EISENHOWER PKWY STE 300",
            "city": "ROSELAND",
            "state": "NJ",
            "postal_code": "070681054",
            "telephone_number": "973-795-1260",
            "fax_number": "973-795-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX PSYCHIATRIC AND RECOVERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-795-1260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.