| Tms Clinical Services Of New Jersey Llc | |
|
161 Washington Valley Rd Ste 207 Warren NJ 07059-7177 | |
| (630) 974-6602 | |
| Not Available |
| Full Name | Tms Clinical Services Of New Jersey Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 161 Washington Valley Rd Ste 207, Warren, New Jersey |
| Authorized Official Name and Position | Racquel San Juan (PRESIDENT) |
| Authorized Official Contact | 2247778034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Clinical Services Of New Jersey Llc 1100 Jorie Blvd Ste 172 Oak Brook IL 60523-4409 Ph: (224) 777-8034 | Tms Clinical Services Of New Jersey Llc 161 Washington Valley Rd Ste 207 Warren NJ 07059-7177 Ph: (630) 974-6602 |
| NPI Number | 1700469160 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/02/2021 |
| Medicare PECOS PAC ID | 8426451824 |
|---|---|
| Medicare Enrollment ID | O20210722002413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700469160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Racquel San Juan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295847713 PECOS PAC ID: 1153724554 Enrollment ID: I20210722002468 |
| Provider Name | Teresa Poprawski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861611345 PECOS PAC ID: 5496847063 Enrollment ID: I20220420003207 |
| Provider Name | Emily A Marcus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760048219 PECOS PAC ID: 6305203605 Enrollment ID: I20230601000215 |
| Provider Name | Adil Yurekli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275266066 PECOS PAC ID: 7315399375 Enrollment ID: I20240116002114 |
| Provider Name | Stacy Gronek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811254816 PECOS PAC ID: 9436501863 Enrollment ID: I20240213000083 |
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