Healthcare Provider Details

I. General information

NPI: 1740023050
Provider Name (Legal Business Name): SOLAS HEALTH NJ PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 11/05/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 STATE RT 440 STE 16
JERSEY CITY NJ
07304-1069
US

IV. Provider business mailing address

701 STATE RT 440 STE 16
JERSEY CITY NJ
07304-1069
US

V. Phone/Fax

Practice location:
  • Phone: 732-314-1509
  • Fax:
Mailing address:
  • Phone: 732-314-1509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSHUA ACKERMAN
Title or Position: OWNER
Credential: MD
Phone: 732-314-1509