MEDICARE: CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285683276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL JERSEY BEHAVIORAL HEALTH ASSOCIATES INC

Provider Business Mailing Address
First Line	:	PO BOX 15155
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07192-5155
Country	:	US
Telephone Number	:	732-557-7160
Fax Number	:	732-557-7109

Provider Business Practice Location Address
First Line	:	1691 US HIGHWAY 9
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08755-1245
Country	:	US
Telephone Number	:	732-914-1688
Fax Number	:	732-914-3854

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ANTHONY ESPOSITO
Credential	:
Telephone Number	:	732-557-7160

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	10/09/2012

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