Omadesala Psychiatric Services, Llc

LBN: Omadesala Psychiatric Services, Llc
Omadesala Psychiatric Services, Llc is an health care organization with primary practice located at 285 Durham Ave Ste 2A Building 6, South Plainfield NJ 07080-2546. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Omadesala Psychiatric Services, Llc can be contacted via phone (908) 548-8533, or through Vo, John D via phone (212) 365-0448.

Contact Information

Primary practice address
285 Durham Ave Ste 2A Building 6 South Plainfield NJ 07080-2546
Phone: (908) 548-8533
Fax: (908) 548-8532
Website:
Map and Directions
Authorized official contact:
Name: Vo, John D
Phone: (212) 365-0448

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1386915387
LBN Legal business name Omadesala Psychiatric Services, Llc
DBA Doing business as
Authorized official Vo, John D
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2012
Last updated Jan 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386915387 NPPES
New Jersey Other 9760812 AETNA

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