| Success Tms Professional Services New Jersey Llc | |
|
240 Frisch Ct Ste 105 Paramus NJ 07652-5249 | |
| (954) 947-3340 | |
| (561) 413-5627 |
| Full Name | Success Tms Professional Services New Jersey Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 240 Frisch Ct Ste 105, Paramus, New Jersey |
| Authorized Official Name and Position | Archana Nigam (ASSISTANT VP OF MANAGED CARE) |
| Authorized Official Contact | 4169159100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Success Tms Professional Services New Jersey Llc 240 Frisch Ct Ste 101 Paramus NJ 07652-5249 Ph: (954) 947-3340 | Success Tms Professional Services New Jersey Llc 240 Frisch Ct Ste 105 Paramus NJ 07652-5249 Ph: (954) 947-3340 |
| NPI Number | 1790309862 |
|---|---|
| Provider Enumeration Date | 06/03/2020 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 9638592249 |
|---|---|
| Medicare Enrollment ID | O20200714002961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790309862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eric Malz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598795536 PECOS PAC ID: 6103891973 Enrollment ID: I20071023000738 |
| Provider Name | Carlos Alberto Rueda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366490195 PECOS PAC ID: 6103807607 Enrollment ID: I20160701000920 |
| Provider Name | M Samson Seplow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477686608 PECOS PAC ID: 0446323125 Enrollment ID: I20200211000027 |
| Provider Name | Christopher Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902467392 PECOS PAC ID: 0143611541 Enrollment ID: I20211220000173 |
| Provider Name | Claudio Sam Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639782030 PECOS PAC ID: 3375939994 Enrollment ID: I20220407002623 |
| Provider Name | Marie Rose Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134868433 PECOS PAC ID: 7113300385 Enrollment ID: I20220822000162 |
| Provider Name | Natacha Jharahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275151961 PECOS PAC ID: 5890161699 Enrollment ID: I20221019002365 |
| Provider Name | Donna Cutler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619623394 PECOS PAC ID: 6204206469 Enrollment ID: I20230104000789 |
| Provider Name | Adesuwa Omigie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235227380 PECOS PAC ID: 0345334108 Enrollment ID: I20230110001972 |
| Provider Name | Samuel Okechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396412763 PECOS PAC ID: 3173993250 Enrollment ID: I20230124001497 |
| Provider Name | Ashley Alana Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841903515 PECOS PAC ID: 6305219015 Enrollment ID: I20230228001681 |
| Provider Name | Leroy Arenivar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568617355 PECOS PAC ID: 4284877994 Enrollment ID: I20230629002135 |
| Provider Name | Joseph Chidiebere Ekenta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972203131 PECOS PAC ID: 1052770625 Enrollment ID: I20230630000031 |
| Provider Name | Michael Deji Sanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194462648 PECOS PAC ID: 5092176354 Enrollment ID: I20230802002908 |
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