Provider Demographics
NPI:1912735663
Name:CEDARVIEW HEALTH LLC
Entity type:Organization
Organization Name:CEDARVIEW HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-755-2881
Mailing Address - Street 1:111 TOWN SQUARE PLACE
Mailing Address - Street 2:SUITE 1201 #1032
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310
Mailing Address - Country:US
Mailing Address - Phone:973-755-2887
Mailing Address - Fax:908-842-0632
Practice Address - Street 1:111 TOWN SQUARE PLACE
Practice Address - Street 2:SUITE 1201 #1032
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310
Practice Address - Country:US
Practice Address - Phone:973-755-2887
Practice Address - Fax:908-842-0632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-24
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty