MEDICARE: MODERN PSYCHIATRY NJ PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1093419475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MODERN PSYCHIATRY NJ PC

Provider Business Mailing Address
First Line	:	23 WOODHAVEN RD
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 BEY LEA RD STE C101
Second Line	:
City	:	TOMS RIVER
State	:	NJ
Zip	:	08753-2900
Country	:	US
Telephone Number	:	732-831-6094
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FELIX GELLER
Credential	:	MD
Telephone Number	:	903-721-1330

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	01/19/2026

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