THE PASSION CARE CENTER (NPI# 1164913786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164913786 |
| Entity Type | Organization |
| Organization Name | THE PASSION CARE CENTER |
| Practice Address |
187 Fayette St Perth Amboy NJ 08861-4140 |
| Practice Telephone | 2679098264 |
| Practice Fax Number | 2155250272 |
| Mailing Telephone | 2679098264 |
| Mailing Fax Number | 2155250272 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | OMAR RILEY (ACCOUNT MANAGER) |
| Authorized Official Telephone | 2679098264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0398012 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982179180 | The Passion Care Center | Counselor | 187 Fayette St, Perth Amboy, NJ 08861-4140 | 2018-10-04 |
| 1043682149 | The Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2015-10-28 |
| Street Address |
187 FAYETTE ST |
| City | PERTH AMBOY |
| State | NJ |
| Zip Code | 08861-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138390 | Lynette Rean De Jesus-baez | Counselor | 187 Fayette St, Perth Amboy, NJ 08861-4140 | 2020-09-14 |
| 1164054995 | Christina Marie Laurich | Social Worker | 187 Fayette St, Perth Amboy, NJ 08861-4140 | 2020-02-10 |
| 1376002824 | Maria Isabel Gomez | Counselor | 187 Fayette St, Perth Amboy, NJ 08861-4140 | 2019-03-14 |
| 1023577533 | Nicole Rooth | Counselor | 187 Fayette St, Perth Amboy, NJ 08861-4140 | 2019-03-14 |
| 1982179180 | The Passion Care Center | Counselor | 187 Fayette St, Perth Amboy, NJ 08861-4140 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961056 | Elahe Marandi | Student in an Organized Health Care Education/Training Program | 530 Brunswick Avenue, Perth Amboy, NJ 08861 | 2020-04-22 |
| 1942770193 | Bensen Larose | Physical Therapy Assistant | 10 Harbor Terrace Apt 3k, Perth Amboy, NJ 08861 | 2018-11-30 |
| 1679098578 | Elizabeth Hernandez | Social Worker | 109 Broad St., Perth Amboy, NJ 08861 | 2017-08-11 |
| 1114463577 | Iryna Gutsulyak | Behavioral Analyst | 768 Central Place, Perth Amboy, NJ 08861 | 2017-01-10 |
| 1821544552 | Demi Marie Mendez | Specialist/Technologist | 147 Market Street 2nd Floor, Perth Amboy, NJ 08861 | 2016-09-01 |
| 1174987325 | Mc Laney Moise | Social Worker | 597 Harbortown Blvd Bldg 43, Perth Amboy, NJ 08861 | 2016-04-13 |
| 1326477027 | Passion Care Center | Clinic/Center | 187 Fayette Street, Perth Amboy, NJ 08861 | 2013-11-04 |
| 1609201813 | Payal Patel | Physical Therapist | 553 Sayre Ave Ste 104, Perth Amboy, NJ 08861 | 2013-09-06 |
| 1750628301 | Opticare Physical Therapy, LLP | Physical Therapist | 155 New Brunswick Avenue, Perth Amboy, NJ 08861 | 2013-01-15 |
| 1467701094 | Monica Medina | Social Worker | 271 Smith Street, Perth Amboy, NJ 08861 | 2012-08-29 |
| Find all providers in zip 08861 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073706933 | Deniece Reid | Counselor | 205 Smith St, Perth Amboy, NJ 08861-4323 | 2007-08-23 |
| 1730399767 | Edward Banasiak | Counselor | 570 Lee St, Perth Amboy, NJ 08861-3053 | 2007-05-22 |
| 1336352202 | Jillian Marie Gjokaj | Counselor | 570 Lee St, Perth Amboy, NJ 08861-3053 | 2007-05-08 |
| 1215140090 | Debra Joyce Klein | Counselor | 570 Lee St, Perth Amboy, NJ 08861-3053 | 2007-05-08 |
| 1184837411 | Ana M. Goldman | Counselor | 570 Lee St, Perth Amboy, NJ 08861-3053 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
| 1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
| 1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
| 1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
| 1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | PERTH AMBOY |
| Zip Code | 08861 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.