ST. LUKE'S COUNSELING MEDICAL CENTER L.L.C. (NPI# 1154888162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154888162 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S COUNSELING MEDICAL CENTER L.L.C. |
| Practice Address |
59 Seeley Ave Kearny NJ 07032-3120 |
| Practice Telephone | 2014281040 |
| Practice Fax Number | 2014281161 |
| Mailing Telephone | 2014281040 |
| Mailing Fax Number | 2014281161 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |
| Authorized Official Name | DR. JOSEPH G.A. IBRAHIM (OWNER) |
| Authorized Official Telephone | 2017793320 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
59 SEELEY AVE |
| City | KEARNY |
| State | NJ |
| Zip Code | 07032-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192445 | Wise Hearing New Jersey LLC | Hearing Instrument Specialist | 179 Kearney Ave, Kearny, NJ 07032 | 2018-11-05 |
| 1497232847 | Amira Haany Elgindy | Physician Assistant | Premier Care Associates, 512 Kearny Avenue, Suite B, Kearny, NJ 07032 | 2018-07-27 |
| 1427577097 | Insight Behavioral Services | Home Health | 78 John Miller Way, Suite 314, Kearny, NJ 07032 | 2017-09-14 |
| 1366985178 | Minerva Refe Brizuela | Nurse Practitioner | 30-35 So. Hackensack Avenue, Hudson County Correctional, Kearny, NJ 07032 | 2016-11-28 |
| 1356710396 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 465 Kearny Ave, Kearny, NJ 07032 | 2015-09-21 |
| 1083016489 | Center for Remote Medical Management LLC | Clinic/Center | 856 Kearny Ave Ste 2, Kearny, NJ 07032 | 2014-09-17 |
| 1467750836 | Anita Hillary | Pharmacist | 248 Kearny Avenue, Kearny, NJ 07032 | 2011-03-08 |
| 1770818486 | Twyla N Rentas | Nurse Practitioner | 30 Hackensack Ave., Kearny, NJ 07032 | 2009-10-14 |
| 1326293291 | Kearny Health Dept | Public Health or Welfare | 645 Kearny Avenue, Kearny Health Dept, Kearny, NJ 07032 | 2008-11-19 |
| 1669622015 | Emad Jacob | Internal Medicine | 715 Kearney Ave, Kearney, NJ 07032 | 2008-09-23 |
| Find all providers in zip 07032 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| 1760792402 | Deepti-sagar Varma | Psychiatry & Neurology | 210 Bellevue Avenue, Upper Montclair, NJ 07043 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.