Healthcare Provider Details

I. General information

NPI: 1932023405
Provider Name (Legal Business Name): HARBOR ROAD PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HIGHWAY 35 STE 1
RED BANK NJ
07701-5928
US

IV. Provider business mailing address

110 HIGHWAY 35 STE 1
RED BANK NJ
07701-5928
US

V. Phone/Fax

Practice location:
  • Phone: 732-660-8418
  • Fax:
Mailing address:
  • Phone: 732-660-8418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMAD HASSAN
Title or Position: PSYCHIATRIST
Credential: MD
Phone: 732-660-8418