NPIMap

Organization Active NPI

Modern Psychiatry NJ PC

  • Clinical Psychologist
  • Toms River, NJ
National Provider Identifier
1891525119
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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
Aug 2, 2024
Organization subpart
Yes
Parent organization
MODERN PSYCHIATRY NJ PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 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

National Provider Directory

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

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": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1891525119",
    "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"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "MODERN PSYCHIATRY NJ PC",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "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": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "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 Aug 2, 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.