OrganizationActive
Tidal Behavioral Aba Nj LLC
NPI 1023872975 · Community/Behavioral Health Agency · Ewing, NJ
Tidal Behavioral Aba Nj LLC is a Community/Behavioral Health Agency organization in Ewing, NJ (NPI 1023872975).
Provider details
- NPI number
- 1023872975
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jack Elias, Controller(171) 873-6568
Specialties & taxonomies
Agencies
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 Bear Tavern Rd
Ewing, NJ 08628-1021
Phone: (718) 736-5689
Street-level locationGet directions
Mailing address
7 Sterling Pl
Lawrence, NY 11559-2414
Other names (DBA / former)
- Doing business as
- Tidal Behavioral Aba Nj LLC
Registry dates
- Enumerated
- 2024-02-12
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Tidal Behavioral Aba Nj LLC's NPI number?
- Tidal Behavioral Aba Nj LLC's National Provider Identifier (NPI) is 1023872975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidal Behavioral Aba Nj LLC?
- Tidal Behavioral Aba Nj LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Tidal Behavioral Aba Nj LLC located?
- Tidal Behavioral Aba Nj LLC's practice location on file with NPPES is 820 Bear Tavern Rd, Ewing, NJ 08628-1021.
- What is Tidal Behavioral Aba Nj LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidal Behavioral Aba Nj LLC is (718) 736-5689.
- Who is the authorized official for Tidal Behavioral Aba Nj LLC?
- The authorized official listed on Tidal Behavioral Aba Nj LLC's NPPES record is Jack Elias, Controller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidal Behavioral Aba Nj LLC's NPI active?
- Yes — Tidal Behavioral Aba Nj LLC's NPI (1023872975) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.