Active NPIOrganization

Mary C Kannankeril Md.,pa

Psychiatry & Neurology, Psychiatry in Montville, New Jersey

NPI Number1538406574
Practice location
170 Changebridge RD, Suite B 3-4, Montville, NJ 07045-9115
Fax
973-628-1935
Last updated
November 20, 2023

Mary C Kannankeril Md.,pa is a healthcare organization based in Montville, NJ. Mary C Kannankeril Md.,pa practices in Montville, NJ. The NPI Number for Mary C Kannankeril Md.,pa is 1538406574. The current practice location address for Mary C Kannankeril Md.,pa is 170 Changebridge RD, Suite B 3-4, Montville, NJ 07045-9115 and can be reached out via phone at 973-276-0041 and via fax at 973-628-1935.

Provider Profile Details

NPI Number
1538406574
Provider Name
Mary C Kannankeril Md.,pa
Provider Entity Type
Organization
Address
170 Changebridge RD, Suite B 3-4, Montville, NJ 07045-9115
Phone Number
973-276-0041
Fax Number
973-628-1935
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Mary C Kannankeril, MDPA · Owner · 973-276-0041
Provider Enumeration Date
January 10, 2013
Last Update Date
November 20, 2023
Certification Date
November 20, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
170 Changebridge RD
Suite B 3-4
Montville, NJ 07045-9115
Zip
07045-9115
Phone Number
973-276-0041
Fax Number
973-628-1935
Montville, NJ 07045Get directions →

Provider Business Mailing Address Details

Address
170 Changebridge RD
Suite B 3-4
Montville, NJ 07045-9115
City
Montville
State
NJ
Zip
07045-9115
Phone Number
973-276-0041
Fax Number
973-628-1935

License Information

Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · 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 Mary C Kannankeril Md.,pa?

The NPI number of Mary C Kannankeril Md.,pa is 1538406574. It was assigned on January 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Mary C Kannankeril Md.,pa?

Mary C Kannankeril Md.,pa is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).

Where does Mary C Kannankeril Md.,pa practice?

The practice location is 170 Changebridge RD, Suite B 3-4, Montville, NJ 07045-9115. The office can be reached at 973-276-0041 (phone) or 973-628-1935 (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 1538406574 directly on the NPPES registry website.

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