Provider Demographics
NPI:1457223299
Name:NATIONWIDE MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:NATIONWIDE MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ENIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERAQDAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-925-4850
Mailing Address - Street 1:380 BELMONT AVE,
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1353
Mailing Address - Country:US
Mailing Address - Phone:973-925-4850
Mailing Address - Fax:973-925-4851
Practice Address - Street 1:320 WEST PASSAIC ST
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-3010
Practice Address - Country:US
Practice Address - Phone:973-925-4850
Practice Address - Fax:973-925-4851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty