KINGSBORO PSYCHIATRIC CENTER
NPI 1720170087
Psychiatric Hospital in Tenafly, NJ

NPI Status: Active since September 28, 2006

Contact Information

24 LAUREL AVENUE
TENAFLY, NJ
ZIP 07670
Phone: (201) 568-5395

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  • Organization
  • Psychiatric Hospital

About KINGSBORO PSYCHIATRIC CENTER

This page provides the complete NPI Profile along with additional information for Kingsboro Psychiatric Center, a provider established in Tenafly, New Jersey operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1720170087 assigned on September 2006. The practitioner's primary taxonomy code is 283Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Dasen M. Brajkovic Md (Attending Physician)

NPI
1720170087
Provider Name
KINGSBORO PSYCHIATRIC CENTER
Entity Type
Organization
Location Address
24 LAUREL AVENUE TENAFLY, NJ 07670
Location Phone
(201) 568-5395
Mailing Address
24 LAUREL AVENUE TENAFLY, NJ 07670
Mailing Phone
(201) 568-5395
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DASEN M. BRAJKOVIC MD

Authorized Official Title
ATTENDING PHYSICIAN
Authorized Official Phone
(718) 221-7391

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720170087
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740270016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 7 + 0 + 0 + 1 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1720170087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720170087, enumerated in the NPI registry as an "organization" on September 28, 2006

The provider is located at 24 Laurel Avenue Tenafly, Nj 07670 and the phone number is (201) 568-5395

This medical organization specializes in Psychiatric Hospital with taxonomy code 283Q00000X

This NPI record was last updated on September 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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