KINGSBORO PSYCHIATRIC CENTER (NPI# 1720170087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720170087 |
| Entity Type | Organization |
| Organization Name | KINGSBORO PSYCHIATRIC CENTER |
| Practice Address |
24 Laurel Avenue Tenafly NJ 07670 |
| Practice Telephone | 2015685395 |
| Mailing Telephone | 2015685395 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DASEN M. BRAJKOVIC (ATTENDING PHYSICIAN) |
| Authorized Official Telephone | 7182217391 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724045 | Kingsboro Psychiatric Center | Psychiatric Hospital | 309 Mayfair Dr N, Brooklyn, NY 11234-6715 | 2006-10-17 |
| 1689156259 | Kingsboro Psychiatric Center | Nursing Care | 10 Manhattan Ave, Brooklyn, NY 11206-3950 | 2018-08-30 |
| 1467996348 | Kingsboro Psychiatric Center | Psychiatric Unit | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-12-12 |
| 1891156410 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-03-09 |
| 1003126046 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-10-08 |
| 1578880944 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-26 |
| 1801112131 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2010-04-12 |
| 1992869804 | Kingsboro Psychiatric Center | Pharmacy | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1548324452 | Kingsboro Psychiatric Center | Health Maintenance Organization | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-12-22 |
| 1184704736 | Kingsboro Psychiatric Center | Psychiatric Hospital | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2006-10-17 |
| Street Address |
24 LAUREL AVENUE |
| City | TENAFLY |
| State | NJ |
| Zip Code | 07670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792452 | Yanming Zu | Pharmacist | 12 Cobblestone Way, Tenafly, NJ 07670 | 2016-11-08 |
| 1568812147 | Brightview Tenafly, LLC | Alzheimer Center (Dementia Center) | 55 Hudson Avenue, Tenafly, NJ 07670 | 2016-06-15 |
| 1124400551 | Michelle Hilary Roth | Occupational Therapist | 120 County Road, Suite 101, Tenafly, NJ 07670 | 2015-06-22 |
| 1720487648 | Natalya Knafel | Psychiatry & Neurology | 2 Dean Drive 1st Floor South, Tenafly, NJ 07670 | 2014-08-15 |
| 1952743692 | Jewish Community Center On The Palisades | Clinic/Center | 411 East Clinton Avenue, Kaplen Jcc On The Palisades, Tenafly, NJ 07670 | 2013-07-23 |
| 1346587615 | Your Best Health LLC | Internal Medicine | 400 Tenafly Rd #481, Tenafly, NJ 07670 | 2013-01-07 |
| 1679866255 | Elizabeth Burtman | Pediatrics | 2 Dean Dr Ste 2, Tenafly, NJ 07670 | 2011-05-16 |
| 1710115746 | Virginia S Cowen | Massage Therapist | 145 Piermont Road, Jumping Frog Studios, Tenafly, NJ 07670 | 2009-06-29 |
| 1356577522 | Stephen Harold Chenen | Internal Medicine | 82 Oak Ave, Tenafly, NJ 07670 | 2009-06-02 |
| 1033377890 | Jerold Schwartz | Anesthesiology | 84 Woodland Park Drive, Tenafly, NJ 07670 | 2008-05-29 |
| Find all providers in zip 07670 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1639546930 | Clear Conscience Counseling | Psychiatric Hospital | 214 Brennan Ct, South Plainfield, NJ 07080-3974 | 2015-08-21 |
| 1750794061 | Trinitas Regional Medical Center | Psychiatric Hospital | 119 E 13th St, Linden, NJ 07036-3314 | 2014-06-04 |
| 1770717100 | Manhattan Psy.ctr | Psychiatric Hospital | 346 Mercer Loop, Jersey City, NJ 07302-3235 | 2009-05-13 |
| 1891817433 | Princeton Medical Center | Psychiatric Hospital | 351 New Albany Rd, Moorestown, NJ 08057-1117 | 2007-04-04 |
| 1053470047 | Hudson Co Board of Chosen Freehold Admin | Psychiatric Hospital | 595 County Ave Bldg 10, Secaucus, NJ 07094-2605 | 2006-12-06 |
| 1851474647 | Ann Klein Forensic Center | Psychiatric Hospital | 1609 Stuyvesant Ave., Box 7717, West Trenton, NJ 08628 | 2006-10-23 |
| 1689682478 | U.S. Dept. of Veterans Affairs | Psychiatric Hospital | 155 Knollcroft Rd, Building 143,room Wii8, Lyons, NJ 07939-5001 | 2006-08-04 |
| 1457324196 | Uhs of Hampton Inc | Psychiatric Hospital | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2006-02-13 |
| 1932172962 | County of Burlington | Psychiatric Hospital | 600 Pemberton-browns Mills Road, New Lisbon, NJ 08064 | 2006-02-09 |
| 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.