MEDICARE: NORTH WARD BEHAVIORAL HEALTH CENTER LLC

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	261QM1300X	Multi-Specialty Clinic/Center
2	273R00000X	Psychiatric Hospital Unit

General Provider Information

NPI Number	:	1326679218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH WARD BEHAVIORAL HEALTH CENTER LLC

Provider Business Mailing Address
First Line	:	523 PARK AVE
Second Line	:
City	:	ORANGE
State	:	NJ
Zip	:	07050-1703
Country	:	US
Telephone Number	:	862-229-1516
Fax Number	:	973-675-0040

Provider Business Practice Location Address
First Line	:	508-510 MT PROSPECT AVE
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-2904
Country	:	US
Telephone Number	:	862-229-1515
Fax Number	:	973-675-0040

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEXANDER SALERNO
Credential	:	MD
Telephone Number	:	973-672-2455

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	04/01/2025

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