| Ijkg Opco Llc | |
|
29th Street At Avenue E Bayonne NJ 07002 | |
| (201) 858-5000 | |
| (201) 858-7333 |
| Full Name | Ijkg Opco Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 29th Street At Avenue E, Bayonne, New Jersey |
| Authorized Official Name and Position | Daniel Kane (PRESIDENT AND CEO) |
| Authorized Official Contact | 2018587111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ijkg Opco Llc 29th Street At Avenue E Bayonne NJ 07002 Ph: (201) 858-5000 | Ijkg Opco Llc 29th Street At Avenue E Bayonne NJ 07002 Ph: (201) 858-5000 |
| NPI Number | 1568669380 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 03/12/2008 |
| Medicare PECOS PAC ID | 9739264763 |
|---|---|
| Medicare Enrollment ID | O20200731002845 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568669380 | NPI | - | NPPES |
| 4136705 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
A Step Closer, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 W 30th St, Bayonne, NJ 07002 Phone: 201-600-1812 | |
Prov 205 Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 866 Broadway, Suite A, Bayonne, NJ 07002 Phone: 201-455-2052 Fax: 201-354-9376 | |
Optimum Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1137 Avenue C, Bayonne, NJ 07002 Phone: 201-339-3371 Fax: 201-339-3376 | |
Dreamchasers Community Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 W 50th St, Bayonne, NJ 07002 Phone: 281-895-3250 | |
Healizm Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 924 Broadway Rear, Bayonne, NJ 07002 Phone: 908-975-1434 | |
Brian C. Della Pesca Ma Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 Broadway, Suite 307, Bayonne, NJ 07002 Phone: 973-980-2955 Fax: 201-254-9928 | |
Trinitas Regional Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 597 Broadway, Bayonne, NJ 07002 Phone: 201-339-9200 |