| Mental Health Specialty Group Nj, Pc | |
|
830 Morris Tpke Short Hills NJ 07078-2625 | |
| (323) 205-7088 | |
| Not Available |
| Full Name | Mental Health Specialty Group Nj, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 830 Morris Tpke, Short Hills, New Jersey |
| Authorized Official Name and Position | Gabriel Diop (AUTHORIZED AGENT) |
| Authorized Official Contact | 3232057088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Specialty Group Nj, Pc Po Box 745250 Atlanta GA 30374-5250 Ph: (323) 205-7088 | Mental Health Specialty Group Nj, Pc 830 Morris Tpke Short Hills NJ 07078-2625 Ph: (323) 205-7088 |
| NPI Number | 1548928450 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 8224559174 |
|---|---|
| Medicare Enrollment ID | O20250307000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548928450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew Hylton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538834858 PECOS PAC ID: 8325438914 Enrollment ID: I20211214003065 |
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