Healthcare Provider Details

I. General information

NPI: 1316668098
Provider Name (Legal Business Name): NORTH JERSEY PSYCHIATRY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2022
Last Update Date: 02/17/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 ESSEX ST FL 2
MILLBURN NJ
07041-1316
US

IV. Provider business mailing address

421 ESSEX ST FL 2
MILLBURN NJ
07041-1316
US

V. Phone/Fax

Practice location:
  • Phone: 908-416-8146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER RENE SANCHEZ
Title or Position: OWNER
Credential: MD
Phone: 908-416-8146