Healthcare Provider Details

I. General information

NPI: 1720626922
Provider Name (Legal Business Name): FOREST RECOVERY AND PSYCHIATRIC GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2019
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FOREST AVE
PARAMUS NJ
07652-5241
US

IV. Provider business mailing address

6 FOREST AVE STE 110
PARAMUS NJ
07652-5245
US

V. Phone/Fax

Practice location:
  • Phone: 201-880-7530
  • Fax: 201-880-7529
Mailing address:
  • Phone: 201-880-7530
  • Fax: 201-880-7529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FREDERICK E KAHN
Title or Position: OWNER
Credential: MD
Phone: 201-880-7530