Organization
STATE OF NEW JERSEY OMB CENTRALIZED PAYROLL
Active
Other names
Ancora Psychiatric Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROAT MD (MEDICAL DIRECTOR)
(609) 567-7300
Entity
Organization
Contact information
Practice address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-2516
(609) 561-1700
(609) 561-1858
Mailing address
301 SPRING GARDEN RD, HAMMONTON, NJ 08037-9699
(609) 561-1700
(609) 561-1858
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692705
MEDICARE BILLING GROUP
NJ
Enumeration date
10/31/2006
Last updated
07/01/2014
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