Organization Active NPI

Modern Psychiatry NJ PC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Toms River, NJ
National Provider Identifier
1750129490
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
MODERN PSYCHIATRY NJ PC
Practice address
20 Hospital Dr Ste 4
Toms River, NJ 08755-6434
Phone
(732) 831-6094
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Felix Aron Geller
Title
Ceo
Phone
(732) 571-0025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

20 Hospital Dr Ste 4
Toms River, NJ 08755-6434

Mailing address

20 Hospital Dr Ste 4
Toms River, NJ 08755-6434
Phone (732) 831-6094

National Provider Directory

National Provider Directory
Tax ID family
Modern Psychiatry NJ PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1750129490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR STE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-831-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR STE 4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556434",
            "telephone_number": "732-831-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PSYCHIATRY NJ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "GELLER",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "ARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-571-0025"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.