Provider Demographics
NPI:1922856764
Name:ZEAL PSYCHIATRY LLC
Entity type:Organization
Organization Name:ZEAL PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROYSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-893-4003
Mailing Address - Street 1:245 GRANT AVE # 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-1510
Mailing Address - Country:US
Mailing Address - Phone:478-893-4003
Mailing Address - Fax:364-202-8961
Practice Address - Street 1:2 BUCKS LN STE 8
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1473
Practice Address - Country:US
Practice Address - Phone:347-671-7443
Practice Address - Fax:364-202-8961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty