| Modern Psychiatry Nj Pc | |
|
23 Woodhaven Rd Toms River NJ 08753-2043 | |
| (903) 721-1330 | |
| Not Available |
| Full Name | Modern Psychiatry Nj Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23 Woodhaven Rd, Toms River, New Jersey |
| Authorized Official Name and Position | Felix Geller (OWNER) |
| Authorized Official Contact | 9037211330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Psychiatry Nj Pc 23 Woodhaven Rd Toms River NJ 08753-2043 Ph: () - | Modern Psychiatry Nj Pc 23 Woodhaven Rd Toms River NJ 08753-2043 Ph: (903) 721-1330 |
| NPI Number | 1093419475 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Medicare PECOS PAC ID | 2961865464 |
|---|---|
| Medicare Enrollment ID | O20230831001057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093419475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Matthew A Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346317013 PECOS PAC ID: 8729119557 Enrollment ID: I20100623000366 |
| Provider Name | Christopher A Fabian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649328923 PECOS PAC ID: 9032243894 Enrollment ID: I20100816000295 |
| Provider Name | Felix A Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902073216 PECOS PAC ID: 2163672684 Enrollment ID: I20121018000473 |
| Provider Name | Geraldine Dierking |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740521319 PECOS PAC ID: 9830473065 Enrollment ID: I20170307000529 |
| Provider Name | Natalya Csatari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366086894 PECOS PAC ID: 4789018706 Enrollment ID: I20191230000815 |
| Provider Name | Nicholas J Lacorte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134556582 PECOS PAC ID: 1759700883 Enrollment ID: I20200923001267 |
| Provider Name | Rebekah Joy Amarini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326535493 PECOS PAC ID: 5294136685 Enrollment ID: I20210623000501 |
| Provider Name | Leanna Acquaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134775562 PECOS PAC ID: 2961809256 Enrollment ID: I20210929002512 |
| Provider Name | Catherine Bodnar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194451419 PECOS PAC ID: 3779969209 Enrollment ID: I20221006000231 |
| Provider Name | Kara Rafael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457070716 PECOS PAC ID: 8729457551 Enrollment ID: I20221216001534 |
| Provider Name | Megan Stefanelli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912322744 PECOS PAC ID: 6305104381 Enrollment ID: I20240116003697 |
| Provider Name | Jean Milides Hennon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013004746 PECOS PAC ID: 9638295678 Enrollment ID: I20240604003452 |
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