ABBY ROAD PSYCHIATRIC SERVICES LLC
NPI 1053807305
Clinic/Center - Mental Health (Including Community Mental Health Center) in Red Bank, NJ
About Abby Road Psychiatric Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABBY ROAD PSYCHIATRIC SERVICES LLC (NPI 1053807305) is a healthcare organization registered as a mental health (including community mental health center) in Red Bank, New Jersey and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through August 19, 2027 and lists Anthony Dimura, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Abby Road Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Abby Road Psychiatric Services LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2170805
Abby Road Psychiatric Services, LLC · Red Bank, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Abby Road Psychiatric Services LLC's NPI number?
The NPI number for Abby Road Psychiatric Services LLC is 1053807305. It was assigned to this organization in the NPPES registry on July 10, 2018.
Where is Abby Road Psychiatric Services LLC located?
Abby Road Psychiatric Services LLC is located at 7 Hendrickson Ave, Red Bank, NJ 07701. The listed phone number is (732) 893-5316.
What is Abby Road Psychiatric Services LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Abby Road Psychiatric Services LLC enrolled in Medicare?
Yes. Abby Road Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Abby Road Psychiatric Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Abby Road Psychiatric Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Clinical Social Worker (3) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Abby Road Psychiatric Services LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2170805) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Abby Road Psychiatric Services LLC was last updated on August 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Abby Road Psychiatric Services Llc · NPI 1053807305
Mental Health (Including Community Mental Health Center) organization in Red Bank, New Jersey. Organization record, active in the CMS NPPES registry since July 10, 2018.
## Identity
- **NPI:** 1053807305 (Entity type: Organization)
- **Enumerated:** July 10, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Anthony Dimura, OWNER
## Practice location
- **Address:** 7 HENDRICKSON AVE, Red Bank, NJ 07701-6122
- **Phone:** (732) 893-5316
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Clinical Social Worker (3), Certified Clinical Nurse Specialist (CNS) (1); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053807305) · Data from the CMS NPPES public registry.