Healthcare Provider Details

I. General information

NPI: 1821063835
Provider Name (Legal Business Name): TENAFLY PSYCHIATRIC ASSOCIATES, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 DEAN DRIVE 1ST FLOOR SOUTH WING
TENAFLY NJ
07670-2765
US

IV. Provider business mailing address

2 DEAN DR FL 1
TENAFLY NJ
07670-2765
US

V. Phone/Fax

Practice location:
  • Phone: 201-568-8288
  • Fax: 201-568-8105
Mailing address:
  • Phone: 201-568-8288
  • Fax: 201-568-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. JAY L FRIEDMAN
Title or Position: OWNER
Credential: MD
Phone: 201-314-7648