Healthcare Provider Details

I. General information

NPI: 1386294825
Provider Name (Legal Business Name): MORRISTOWN TMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MACCULLOCH AVE FL 2
MORRISTOWN NJ
07960-8698
US

IV. Provider business mailing address

7 MACCULLOCH AVE FL 2
MORRISTOWN NJ
07960-8698
US

V. Phone/Fax

Practice location:
  • Phone: 973-333-0001
  • Fax:
Mailing address:
  • Phone: 973-330-0728
  • Fax: 973-330-0727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ROY BACHAR
Title or Position: SOLE PROPRIETOR
Credential: MD
Phone: 973-330-0728