Provider Demographics
NPI:1235982646
Name:VIP PSYCHIATRY, LLC
Entity Type:Organization
Organization Name:VIP PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOSHE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCES
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:732-305-8107
Mailing Address - Street 1:424 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:DEAL
Mailing Address - State:NJ
Mailing Address - Zip Code:07723-1433
Mailing Address - Country:US
Mailing Address - Phone:845-300-2823
Mailing Address - Fax:
Practice Address - Street 1:901 W PARK AVE STE 213
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-7271
Practice Address - Country:US
Practice Address - Phone:732-305-8107
Practice Address - Fax:845-203-8188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty