Organization
PINNICLE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYANTHI PERIASAMY M.D. (DOCTOR)
(732) 295-1008
Entity
Organization
Contact information
Practice address
2911 ROUTE 88, SUITE E8, POINT PLEASANT, NJ 08742-2871
(732) 295-1008
(732) 899-5733
Mailing address
2911 ROUTE 88, SUITE E8, POINT PLEASANT, NJ 08742-2871
(732) 295-1008
(732) 899-5733
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
25MA07322300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058676AJ1
MEDICARE PTAN - JAYANTHI PERIASAMY, MD
NJ
01
—
879207ZAJ1
MEDICARE PTAN - CHOWDHURY AZAM, MD
NJ
Enumeration date
05/20/2010
Last updated
05/20/2010
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