Active NPIIndividual providerSole proprietor

Omar Canosa, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Madison, New Jersey

NPI Number1841241494
Practice location
37 Kings RD, Ste 202, Madison, NJ 07940-2500
Fax
973-200-8088
Last updated
June 13, 2014

Omar Canosa is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Madison, NJ. Omar Canosa practices in Madison, NJ and has the professional credentials of MD. The NPI Number for Omar Canosa is 1841241494 and holds a License No. MD427434 (PA). The current practice location address for Omar Canosa is 37 Kings RD, Ste 202, Madison, NJ 07940-2500 and can be reached out via phone at 973-520-8848 and via fax at 973-200-8088.

Provider Profile Details

NPI Number
1841241494
Provider Name
Omar Canosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
37 Kings RD, Ste 202, Madison, NJ 07940-2500
Phone Number
973-520-8848
Fax Number
973-200-8088
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2006
Last Update Date
June 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 Kings RD
Ste 202
Madison, NJ 07940-2500
Zip
07940-2500
Phone Number
973-520-8848
Fax Number
973-200-8088
Madison, NJ 07940Get directions →

Provider Business Mailing Address Details

Address
37 Kings RD
Ste 202
Madison, NJ 07940-2500
City
Madison
State
NJ
Zip
07940-2500
Phone Number
973-520-8848
Fax Number
973-200-8088

License Information

License Number (1)
MD427434
License State (1)
PA
Taxonomy (1)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (2)
25MA08381800
License State (2)
NJ
Taxonomy (2)
Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · 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 Omar Canosa, MD?

The NPI number of Omar Canosa, MD is 1841241494. It was assigned on May 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Omar Canosa, MD?

Omar Canosa, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in PA under license number MD427434.

Where does Omar Canosa, MD practice?

The practice location is 37 Kings RD, Ste 202, Madison, NJ 07940-2500. The office can be reached at 973-520-8848 (phone) or 973-200-8088 (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 1841241494 directly on the NPPES registry website.

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