Provider Demographics
NPI:1790309862
Name:OASIS MENTAL HEALTH CENTERS MEDICAL LLC
Entity type:Organization
Organization Name:OASIS MENTAL HEALTH CENTERS MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-954-4592
Mailing Address - Street 1:1 UNIVERSITY PLZ STE 408
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-6204
Mailing Address - Country:US
Mailing Address - Phone:973-954-4592
Mailing Address - Fax:973-954-4592
Practice Address - Street 1:240 FRISCH CT STE 105
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5249
Practice Address - Country:US
Practice Address - Phone:973-954-4592
Practice Address - Fax:973-954-4592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty