Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Hagedorn Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYALA MERCEDES (BUSINESS MANAGER)
(908) 537-2141
Entity
Organization
Contact information
Practice address
200 SANATORIUM RD, GLEN GARDNER, NJ 08826-3288
(908) 537-2141
(908) 537-3100
Mailing address
200 SANATORIUM RD, GLEN GARDNER, NJ 08826-3288
(908) 537-2141
(908) 537-3100
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4508203
—
NJ
01
—
692717
MEDICARE
NJ
Enumeration date
06/10/2006
Last updated
03/27/2008
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