NPIMap

Organization Active NPI

Middlesex Psychiatry & TMS PC

Doing business as Reservoir Health

  • Psychiatry Physician
  • Fairfield, NJ
National Provider Identifier
1053971572
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MIDDLESEX PSYCHIATRY & TMS PC
Doing business as
Reservoir Health
Practice address
165 Passaic Ave
Suite 200
Fairfield, NJ 07004-1580
Phone
(800) 413-8020
NPI assigned
Jun 17, 2019
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victoria Delisio
Title
Authorized Official
Phone
(800) 413-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

165 Passaic Ave
Suite 200
Fairfield, NJ 07004-1580

Mailing address

PO Box 80815
City of Industry, CA 91716-8420
Phone (800) 413-8020

Other practice location 1

777 Route 70 East . G-101
Marlton, NJ 08053
Phone (800) 413-8020

Other practice location 2

11 Shenango Rd Ste 1
New Castle, PA 16105-1177
Phone (800) 413-8020

Other practice location 3

330 Motor Park Way
Suite 204
Hauppauge, NY 11788
Phone (800) 413-8020

Other names 1

  • Reservoir Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220427002709 NJ Part B Supplier - Clinic/Group Practice 7315334000 Receives reassigned benefits from 71 practitioners
Practice locations: Fairfield, NJ; Freehold, NJ; Mahwah, NJ; Marlton, NJ; Point Pleasant Boro, NJ; Voorhees, NJ
O20260302003345 PA Part B Supplier - Clinic/Group Practice 7315334000 Receives reassigned benefits from 13 practitioners
Practice locations: New Castle, PA
O20260519003727 NY Part B Supplier - Clinic/Group Practice 7315334000 Receives reassigned benefits from 11 practitioners
Practice locations: Great Neck, NY; Hauppauge, NY

National Provider Directory

National Provider Directory

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

30 Two Bridges Rd
Ste 380
Fairfield, NJ 07004

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

11 Shenango Rd
Ste 1
New Castle, PA 16105
Phone (724) 657-1881

Practitioners & affiliated clinicians

Practitioners 108

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 108

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1053971572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80815",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168420",
            "telephone_number": "800-413-8020",
            "fax_number": "732-479-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 PASSAIC AVE",
            "address_2": "SUITE 200",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041580",
            "telephone_number": "800-413-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Route 70 East . G-101",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "800-413-8020",
            "fax_number": "732-479-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Shenango Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "PA",
            "postal_code": "161051177",
            "country_code": "US",
            "telephone_number": "800-413-8020",
            "fax_number": "732-479-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Motor Park Way",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Hauppauge",
            "state": "NY",
            "postal_code": "11788",
            "country_code": "US",
            "telephone_number": "800-413-8020",
            "fax_number": "732-479-6751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLESEX PSYCHIATRY & TMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "DELISIO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-413-8020"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reservoir Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.