Provider Demographics
NPI:1942029046
Name:MAJESTIC HEALTHCARE AND EDUCATIONAL SERVICES
Entity type:Organization
Organization Name:MAJESTIC HEALTHCARE AND EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:MAYARD
Authorized Official - Last Name:AMAZAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:609-225-7985
Mailing Address - Street 1:1346 HOW LN STE 201
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1728
Mailing Address - Country:US
Mailing Address - Phone:609-225-7985
Mailing Address - Fax:
Practice Address - Street 1:1346 HOW LN STE 201
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1728
Practice Address - Country:US
Practice Address - Phone:609-225-7985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty