| East Orange General Hospital | |
|
240 Central Ave Ste 100 East Orange NJ 07018-3313 | |
| (973) 266-8416 | |
| (862) 253-0090 |
| Full Name | East Orange General Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 240 Central Ave Ste 100, East Orange, New Jersey |
| Authorized Official Name and Position | Rafael Ramos (SR. DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 9732029700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Orange General Hospital 300 Central Ave East Orange NJ 07018-2819 Ph: (973) 414-3448 | East Orange General Hospital 240 Central Ave Ste 100 East Orange NJ 07018-3313 Ph: (973) 266-8416 |
| NPI Number | 1174125942 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 05/05/2024 |
| Certification Date | 05/05/2024 |
| Medicare PECOS PAC ID | 6608285028 |
|---|---|
| Medicare Enrollment ID | O20210514000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174125942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Dharamsi D Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831157270 PECOS PAC ID: 8022058395 Enrollment ID: I20050505000694 |
| Provider Name | Ivy F Nnorom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737077 PECOS PAC ID: 5294084885 Enrollment ID: I20180815000459 |
Daniel E Williams Phd Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 185 Central Ave Ste 615, East Orange, NJ 07018 Phone: 973-675-9200 Fax: 973-678-8432 | |
Wisdoms Inventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 81 Lindsley Pl Fl 2, East Orange, NJ 07018 Phone: 908-397-2992 | |
Johnson & Associates Counseling & Consultation Group, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Harrison St Ste A, East Orange, NJ 07018 Phone: 973-677-7053 Fax: 973-677-7050 | |
Union Association Of The Children's Home Of Burlington County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Glenwood Ave, Suite #400, East Orange, NJ 07017 Phone: 609-267-5656 Fax: 609-265-1895 | |
Marvelous Me Therapy & Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Evergreen Pl, East Orange, NJ 07018 Phone: 646-645-6929 Fax: 347-402-1055 | |
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Connectionsarereal Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Harrison St Apt 7b, East Orange, NJ 07018 Phone: 973-855-1272 |