1346898673 NPI number — NASPAC1 LLC

Table of content: DR. ELLEN PINSKY PSY. D. (NPI 1992898480)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346898673 NPI number — NASPAC1 LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NASPAC1 LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346898673
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/29/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
404 CREEK CROSSING BLVD STE 404
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAINESPORT
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08036-2768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-410-9424
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 CENTRAL AVE STE 203
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST ORANGE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07018-2838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-425-6574
Provider Business Practice Location Address Fax Number:
609-288-6078
Provider Enumeration Date:
08/29/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHEULKAR
Authorized Official First Name:
SANJAY
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
609-410-9424

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)