Active NPIOrganization

Omadesala Psychiatric Services, LLC

Health Maintenance Organization in South Plainfield, New Jersey

NPI Number1386915387
Practice location
285 Durham Ave Ste 2A, Building 6, South Plainfield, NJ 07080-2546
Fax
908-548-8532
Last updated
January 23, 2012

Omadesala Psychiatric Services, LLC is a healthcare organization based in South Plainfield, NJ. Omadesala Psychiatric Services, LLC practices in South Plainfield, NJ. The NPI Number for Omadesala Psychiatric Services, LLC is 1386915387. The current practice location address for Omadesala Psychiatric Services, LLC is 285 Durham Ave Ste 2A, Building 6, South Plainfield, NJ 07080-2546 and can be reached out via phone at 908-548-8533 and via fax at 908-548-8532.

Provider Profile Details

NPI Number
1386915387
Provider Name
Omadesala Psychiatric Services, LLC
Provider Entity Type
Organization
Address
285 Durham Ave Ste 2A, Building 6, South Plainfield, NJ 07080-2546
Phone Number
908-548-8533
Fax Number
908-548-8532
Primary Taxonomy
Health Maintenance Organization · 302R00000X
Organization Subpart
No
Authorized Official
Mr. John D Vo · Owner · 212-365-0448
Provider Enumeration Date
January 23, 2012
Last Update Date
January 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
285 Durham Ave Ste 2A
Building 6
South Plainfield, NJ 07080-2546
Zip
07080-2546
Phone Number
908-548-8533
Fax Number
908-548-8532
South Plainfield, NJ 07080Get directions →

Provider Business Mailing Address Details

Address
Po Box 9
Roosevelt, NJ 08555-0009
City
Roosevelt
State
NJ
Zip
08555-0009
Phone Number
609-301-5089
Fax Number
831-303-5089

License Information

Taxonomy
Health Maintenance Organization · 302R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Omadesala Psychiatric Services, LLC?

The NPI number of Omadesala Psychiatric Services, LLC is 1386915387. It was assigned on January 23, 2012 and is currently active in the NPPES registry.

What is the specialty of Omadesala Psychiatric Services, LLC?

Omadesala Psychiatric Services, LLC is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X).

Where does Omadesala Psychiatric Services, LLC practice?

The practice location is 285 Durham Ave Ste 2A, Building 6, South Plainfield, NJ 07080-2546. The office can be reached at 908-548-8533 (phone) or 908-548-8532 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386915387 directly on the NPPES registry website.

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