Provider Demographics
NPI:1043849920
Name:TMS PROFESSIONAL SERVICES OF NEW JERSEY, LLC
Entity Type:Organization
Organization Name:TMS PROFESSIONAL SERVICES OF NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:JASSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-947-3340
Mailing Address - Street 1:60 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1607
Mailing Address - Country:US
Mailing Address - Phone:954-947-3340
Mailing Address - Fax:561-413-5627
Practice Address - Street 1:60 ESSEX ST
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1607
Practice Address - Country:US
Practice Address - Phone:973-840-8517
Practice Address - Fax:561-413-5627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty