NPI 1023430600
New Age Psychiatry LLC
Practice location
- Address
- 480 Jackson Rd, Atco, NJ 08004-1651
- Phone
- (856) 767-5020
- Fax
- (856) 768-3541
- Mailing address
- 4 Saddlebury CT, Mount Laurel, NJ 08054-9628
Authorised official
- Name
- Safeer a Ansari
- Title
- Doctor
- Phone
- (918) 810-7864
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023430600
- Entity type
- Organization
- NPI issued
- 15 Jan 2014
- Record last updated
- 15 Jan 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.