Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JERSEY SHORE PSYCHIATRIC SERVICES LLC
NPI 1417499260
Clinic/Center in Avenel, NJ

Active since November 10, 2016
432 AVENEL ST, AVENEL, NJ 07001(732) 426-7030(609) 479-2781 Get Directions Write a Review

NPPES record last updated: September 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2026, Mar 27, 2017, Nov 10, 2016 (3 updates tracked since 2016).

About Jersey Shore Psychiatric Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERSEY SHORE PSYCHIATRIC SERVICES LLC (NPI 1417499260) is a healthcare organization registered as a clinic/center in Avenel, New Jersey and active in the NPI registry since November 2016. The organization lists Muhammad A Abbas, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417499260
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJERSEY SHORE PSYCHIATRIC SERVICES LLC
Location Address432 AVENEL STAvenel, NJ 07001-1150
Mailing Address432 Avenel StAvenel, NJ 07001-1150 · (732) 426-7030 · Fax (609) 479-2781
Fax(609) 479-2781
Organization SubpartNo
Authorized OfficialMuhammad A AbbasCeo · (732) 426-7030
Enumeration DateNovember 10, 2016
Last NPPES UpdateSeptember 6, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2026
✔ NPI 1417499260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NJ · 25MA09092000
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
432 AVENEL ST, Avenel, NJ 07001

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jersey Shore Psychiatric Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jersey Shore Psychiatric Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1942489729
971 US HIGHWAY 202 N # 5116
Branchburg, NJ 08876
(973) 294-7654
✔ PECOS✔ Accepts Medicare21 mi
Psychiatry
NPI 1396955951
19 DAVIS AVE FL 9
Neptune, NJ 07753
(732) 775-5500
✔ PECOS✔ Accepts Medicare29 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Jersey Shore Psychiatric Services LLC's NPI number?

The NPI number for Jersey Shore Psychiatric Services LLC is 1417499260. It was assigned to this organization in the NPPES registry on November 10, 2016.

Where is Jersey Shore Psychiatric Services LLC located?

Jersey Shore Psychiatric Services LLC is located at 432 Avenel St, Avenel, NJ 07001. The listed phone number is (732) 426-7030.

What is Jersey Shore Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Jersey Shore Psychiatric Services LLC enrolled in Medicare?

Yes. Jersey Shore Psychiatric Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jersey Shore Psychiatric Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jersey Shore Psychiatric Services LLC, in Nurse Practitioner and Psychiatry. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jersey Shore Psychiatric Services LLC was last updated on September 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.