Active NPI
Modern Psychiatry NJ PC
- Addiction Medicine (Psychiatry & Neurology) Physician
- Toms River, NJ
National Provider Identifier
1750129490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician | 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 PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurology Physician
- Toms River, NJ
- NPI 1093419475
-
- Clinical Psychologist
- Toms River, NJ
- NPI 1891525119
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.