AYALA CHILD & ADOLESCENT PSYCHIATRY, PC (NPI# 1326329749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326329749 |
| Entity Type | Organization |
| Organization Name | AYALA CHILD & ADOLESCENT PSYCHIATRY, PC |
| Practice Address |
2301 E Evesham Rd Suite 304 Voorhees NJ 08043-4501 |
| Mailing Address |
31 W 6th Ave Runnemede NJ 08078-1315 |
| Practice Telephone | 8009431817 |
| Practice Fax Number | 8009431817 |
| Mailing Telephone | 8009431817 |
| Mailing Fax Number | 8009431817 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | DR. OMAR AYALA (PRESIDENT) |
| Authorized Official Telephone | 8009431817 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA08727400 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA08727400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
2301 E EVESHAM RD SUITE 304 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515763 | Ofelia Ramoso Mangubat | Pediatrics | 2301 E Evesham Rd, The Pavilions of Voorhees, Ste 405, Voorhees, NJ 08043-4501 | 2005-08-11 |
| 1356949499 | Flannery Farrell | Advanced Practice Midwife | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-10-12 |
| 1215554043 | Renata Siruckova | Advanced Practice Midwife | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-06-27 |
| 1124658943 | David Zweiback Do | Internal Medicine | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2020-01-21 |
| 1407393770 | Regional Women's Health Group, LLC | Obstetrics & Gynecology | 2301 E Evesham Rd, 305, Voorhees, NJ 08043-4501 | 2017-01-25 |
| 1144673609 | Amita Talati Md LLC | Psychiatry & Neurology | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2016-07-20 |
| 1003264326 | Optimum Oral Surgery Group LLC | Clinic/Center | 2301 E Evesham Rd, Suite 211, Voorhees, NJ 08043-4501 | 2016-05-26 |
| 1689033789 | Salveo LLC | Obstetrics & Gynecology | 2301 E Evesham Rd, Voorhees, NJ 08043-4501 | 2016-02-17 |
| 1366845547 | Elisabeth Horowitz M.d. LLC | Internal Medicine | 2301 E Evesham Rd, Suite 402, Voorhees, NJ 08043-4501 | 2014-10-02 |
| 1205238276 | Susan Delancy | Physician Assistant | 2301 E Evesham Rd, Suite 505, Voorhees, NJ 08043-4501 | 2014-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| 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 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 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 |
| 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.