| Palisade Behavioral Care, Pa | |
|
50 Northfield Ave Ste 2 West Orange NJ 07052-5320 | |
| (973) 731-7505 | |
| (973) 731-7513 |
| Full Name | Palisade Behavioral Care, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 50 Northfield Ave Ste 2, West Orange, New Jersey |
| Authorized Official Name and Position | Devendra Kurani (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9737317505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palisade Behavioral Care, Pa 50 Northfield Ave Ste 2 West Orange NJ 07052-5320 Ph: (973) 731-7505 | Palisade Behavioral Care, Pa 50 Northfield Ave Ste 2 West Orange NJ 07052-5320 Ph: (973) 731-7505 |
| NPI Number | 1235247248 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 06/09/2022 |
| Certification Date | 06/09/2022 |
| Medicare PECOS PAC ID | 2769477553 |
|---|---|
| Medicare Enrollment ID | O20040420000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235247248 | NPI | - | NPPES |
| 0104558 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Devendra Kurani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598875734 PECOS PAC ID: 8527053321 Enrollment ID: I20101027000661 |
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