Organization
VERICARE OF NEW JERSEY, P.A.
Active
Other names
Vericare
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT O VOIT (ASSISTANT CORPORATE SECRETARY)
(800) 257-8715
Entity
Organization
Contact information
Practice address
3025 CHAPEL HILL AVE W, CHERRY HILL, NJ 08002-1503
(800) 257-8715
(800) 819-1655
Mailing address
4715 VIEWRIDGE AVE, STE 230, SAN DIEGO, CA 92123-1680
(800) 257-8715
(800) 819-1655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
NJ
1041C0700X
Clinical Social Worker
—
NJ
2084P0800X
Psychiatry Physician
—
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8175802
—
NJ
01
—
CK7625
RAIL ROAD MEDICARE
NJ
Enumeration date
06/07/2006
Last updated
02/26/2016
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