| Behavioral Crossroads Llc | |
|
205 W Parkway Dr Egg Harbor Township NJ 08234-5105 | |
| (609) 645-2500 | |
| (609) 645-9467 |
| Full Name | Behavioral Crossroads Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 205 W Parkway Dr, Egg Harbor Township, New Jersey |
| Authorized Official Name and Position | Shlomo Greenzweig (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6096452500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Crossroads Llc 205 W Parkway Dr Egg Harbor Township NJ 08234-5105 Ph: (609) 645-2500 | Behavioral Crossroads Llc 205 W Parkway Dr Egg Harbor Township NJ 08234-5105 Ph: (609) 645-2500 |
| NPI Number | 1093928731 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9931620978 |
|---|---|
| Medicare Enrollment ID | O20250306003576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093928731 | NPI | - | NPPES |
| 0042170 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New Jersey) | Primary |
| Provider Name | Tzivya Kownat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992077630 PECOS PAC ID: 6204095359 Enrollment ID: I20120308000319 |
| Provider Name | Ashira Lasdun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467727008 PECOS PAC ID: 5092978635 Enrollment ID: I20120518000390 |
| Provider Name | Rita Gagliardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962162602 PECOS PAC ID: 4789069014 Enrollment ID: I20220922000573 |
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