Jersey Shore Psychiatric Services LLC
Clinic/Center in Avenel, New Jersey
1417499260- Practice location
- 432 Avenel St, Avenel, NJ 07001-1150
- Phone
- 732-426-7030
- Fax
- 609-479-2781
- Last updated
- September 6, 2026
Jersey Shore Psychiatric Services LLC is a healthcare organization based in Avenel, NJ. Jersey Shore Psychiatric Services LLC practices in Avenel, NJ. The NPI Number for Jersey Shore Psychiatric Services LLC is 1417499260 and holds a License No. 25ma09092000 (NJ). The current practice location address for Jersey Shore Psychiatric Services LLC is 432 Avenel St, Avenel, NJ 07001-1150 and can be reached out via phone at 732-426-7030 and via fax at 609-479-2781.
Provider Profile Details
- NPI Number
- 1417499260
- Provider Name
- Jersey Shore Psychiatric Services LLC
- Provider Entity Type
- Organization
- Address
- 432 Avenel St, Avenel, NJ 07001-1150
- Phone Number
- 732-426-7030
- Fax Number
- 609-479-2781
- Primary Taxonomy
- Clinic/Center · 261Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Muhammad A Abbas · Ceo · 732-426-7030
- Provider Enumeration Date
- November 10, 2016
- Last Update Date
- September 6, 2026
- Certification Date
- September 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 432 Avenel St
Avenel, NJ 07001-1150 - City
- Avenel
- State
- New Jersey
- Zip
- 07001-1150
- Phone Number
- 732-426-7030
- Fax Number
- 609-479-2781
Provider Business Mailing Address Details
- Address
- 432 Avenel St
Avenel, NJ 07001-1150 - City
- Avenel
- State
- NJ
- Zip
- 07001-1150
- Phone Number
- 732-426-7030
- Fax Number
- 609-479-2781
License Information
- License Number
- 25ma09092000
- License State
- NJ
- Taxonomy
- Clinic/Center · 261Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jersey Shore Psychiatric Services LLC?
The NPI number of Jersey Shore Psychiatric Services LLC is 1417499260. It was assigned on November 10, 2016 and is currently active in the NPPES registry.
What is the specialty of Jersey Shore Psychiatric Services LLC?
Jersey Shore Psychiatric Services LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in NJ under license number 25ma09092000.
Where does Jersey Shore Psychiatric Services LLC practice?
The practice location is 432 Avenel St, Avenel, NJ 07001-1150. The office can be reached at 732-426-7030 (phone) or 609-479-2781 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417499260 directly on the NPPES registry website.