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General NPI Number Information
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NPI Number | 1730626094
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Entity Type | Organization
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Legal Business Name | NJ PSYCHCARE LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 4105 US HIGHWAY 1 STE 7
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City | MONMOUTH JUNCTION
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State | NJ
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Zip | 08852-2157
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Country | US
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Telephone | 328-231-2427
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Fax |
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Provider Business Mailing Address
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Address Line | 15 GREYHOUND CT
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1492
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | ASMA NISAR
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Credential | MD
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Telephone | 201-407-6952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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