| Freehold Psychiatric Associates | |
|
901 W Main St Freehold NJ 07728-2537 | |
| (732) 431-2000 | |
| Not Available |
| Full Name | Freehold Psychiatric Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 901 W Main St, Freehold, New Jersey |
| Authorized Official Name and Position | Pam Mccabe (BILLING MANAGER) |
| Authorized Official Contact | 7323493838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freehold Psychiatric Associates Po Box 1247 Toms River NJ 08754-1247 Ph: (732) 349-3838 | Freehold Psychiatric Associates 901 W Main St Freehold NJ 07728-2537 Ph: (732) 431-2000 |
| NPI Number | 1356493712 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 02/21/2011 |
| Medicare PECOS PAC ID | 6406037324 |
|---|---|
| Medicare Enrollment ID | O20110225000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356493712 | NPI | - | NPPES |
| 4625005 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Komal S Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942388228 PECOS PAC ID: 4688661168 Enrollment ID: I20040427001159 |
| Provider Name | Margaret W Fang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740386788 PECOS PAC ID: 1850388752 Enrollment ID: I20040430000263 |
| Provider Name | Carlos Figarola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306999768 PECOS PAC ID: 4486628187 Enrollment ID: I20040819001101 |
| Provider Name | Marianna Kiselev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366510927 PECOS PAC ID: 2668502659 Enrollment ID: I20100618000168 |
| Provider Name | Moustafa Shafey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164574463 PECOS PAC ID: 0446430177 Enrollment ID: I20110211000506 |
| Provider Name | Daniel A D Andrea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992763866 PECOS PAC ID: 7810880663 Enrollment ID: I20120719000438 |
| Provider Name | Asad Hussain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376858043 PECOS PAC ID: 2860792371 Enrollment ID: I20151204000681 |
| Provider Name | Latisha Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821546094 PECOS PAC ID: 0547540890 Enrollment ID: I20161205000101 |
| Provider Name | Suzanne Chrebet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659929164 PECOS PAC ID: 9830524370 Enrollment ID: I20200110001573 |
| Provider Name | Omar H Yosry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013431626 PECOS PAC ID: 4587076393 Enrollment ID: I20201221001694 |
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