| Advanced Treatment LLC | |
|
230 E Ridgewood Ave Building 6, 2nd Floor Paramus NJ 07652-4142 | |
| (551) 237-4987 | |
| (201) 967-4182 |
| Full Name | Advanced Treatment LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 E Ridgewood Ave Building 6, 2nd Floor, Paramus, New Jersey |
| Authorized Official Name and Position | Shahan Sibtain (PSYCHIATRIST) |
| Authorized Official Contact | 6463718855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Treatment LLC 14 Adams Ct Mahwah NJ 07430-3197 Ph: (646) 371-8855 | Advanced Treatment LLC 230 E Ridgewood Ave Building 6, 2nd Floor Paramus NJ 07652-4142 Ph: (551) 237-4987 |
| NPI Number | 1396338414 |
|---|---|
| Provider Enumeration Date | 02/19/2021 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Medicare PECOS PAC ID | 4385050814 |
|---|---|
| Medicare Enrollment ID | O20210309000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396338414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Shahan Sibtain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932562345 PECOS PAC ID: 7911336987 Enrollment ID: I20200327000020 |
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