Tidal Aba Nj LLC
Community/Behavioral Health in Ewing, New Jersey
1811751415- Practice location
- 820 Bear Tavern RD, Ewing, NJ 08628-1021
- Phone
- 718-736-5689
- Fax
- —
- Last updated
- February 13, 2024
Tidal Aba Nj LLC is a healthcare organization based in Ewing, NJ. Tidal Aba Nj LLC practices in Ewing, NJ. The NPI Number for Tidal Aba Nj LLC is 1811751415. The current practice location address for Tidal Aba Nj LLC is 820 Bear Tavern RD, Ewing, NJ 08628-1021 and can be reached out via phone at 718-736-5689.
Provider Profile Details
- NPI Number
- 1811751415
- Provider Name
- Tidal Aba Nj LLC
- Provider Entity Type
- Organization
- Address
- 820 Bear Tavern RD, Ewing, NJ 08628-1021
- Phone Number
- 718-736-5689
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Jack Bravmann · Controller · 718-675-6957
- Provider Enumeration Date
- February 13, 2024
- Last Update Date
- February 13, 2024
- Certification Date
- February 13, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 820 Bear Tavern RD
Ewing, NJ 08628-1021 - City
- Ewing
- State
- New Jersey
- Zip
- 08628-1021
- Phone Number
- 718-736-5689
Provider Business Mailing Address Details
- Address
- 600 Bayview Ave Ste 400
Inwood, NY 11096-1606 - City
- Inwood
- State
- NY
- Zip
- 11096-1606
- Phone Number
- 718-675-6957
License Information
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Tidal Aba Nj LLC?
The NPI number of Tidal Aba Nj LLC is 1811751415. It was assigned on February 13, 2024 and is currently active in the NPPES registry.
What is the specialty of Tidal Aba Nj LLC?
Tidal Aba Nj LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).
Where does Tidal Aba Nj LLC practice?
The practice location is 820 Bear Tavern RD, Ewing, NJ 08628-1021. The office can be reached at 718-736-5689 (phone).
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 1811751415 directly on the NPPES registry website.