| Jersey Shore Psychiatric Services Llc | |
|
2 Main St Chatham NJ 07928-2434 | |
| (732) 532-4564 | |
| (732) 303-2227 |
| Full Name | Jersey Shore Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2 Main St, Chatham, New Jersey |
| Authorized Official Name and Position | Muhammad A Abbas (PRESIDENT) |
| Authorized Official Contact | 7325324564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jersey Shore Psychiatric Services Llc 9 Professional Cir Suite 202 Colts Neck NJ 07722-2426 Ph: (848) 482-7764 | Jersey Shore Psychiatric Services Llc 2 Main St Chatham NJ 07928-2434 Ph: (732) 532-4564 |
| NPI Number | 1417499260 |
|---|---|
| Provider Enumeration Date | 11/10/2016 |
| Last Update Date | 04/28/2025 |
| Medicare PECOS PAC ID | 0143500736 |
|---|---|
| Medicare Enrollment ID | O20161219000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417499260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 25MA09092000 (New Jersey) | Primary |
| Provider Name | Norma White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942489729 PECOS PAC ID: 0143382606 Enrollment ID: I20110121000002 |
| Provider Name | Muhammad A Abbas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396955951 PECOS PAC ID: 1153513015 Enrollment ID: I20120727000602 |
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