Organization Active NPI

Vip Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ocean, NJ
National Provider Identifier
1235982646
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VIP PSYCHIATRY, LLC
Practice address
901 W Park Ave Ste 213
Ocean, NJ 07712-7271
Phone
(732) 305-8107
Fax
(845) 203-8188
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Mr. Moshe Frances, PMHNP-BCNPI 1417626870
Title
Owner
Phone
(732) 305-8107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

901 W Park Ave Ste 213
Ocean, NJ 07712-7271

Mailing address

424 Parker Ave
Deal, NJ 07723-1433
Phone (845) 300-2823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524000484 NJ Part B Supplier - Clinic/Group Practice 3577905348 Receives reassigned benefits from 1 practitioner
Practice locations: Ocean, NJ

National Provider Directory

National Provider Directory

Locations

901 W Park Ave
Ste 213
Ocean, NJ 07712
Phone (732) 305-8107

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1235982646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PARKER AVE",
            "city": "DEAL",
            "state": "NJ",
            "postal_code": "077231433",
            "telephone_number": "845-300-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W PARK AVE STE 213",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077127271",
            "telephone_number": "732-305-8107",
            "fax_number": "845-203-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "FRANCES",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-305-8107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.