169 N STEVENS INC (NPI# 1225255961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225255961 |
| Entity Type | Organization |
| Organization Name | 169 N STEVENS INC |
| Practice Address |
147 N Broadway South Amboy NJ 08879-1639 |
| Mailing Address |
Po Box 3251 South Amboy NJ 08879-3251 |
| Practice Telephone | 7325251149 |
| Practice Fax Number | 7327276757 |
| Mailing Telephone | 7325251149 |
| Mailing Fax Number | 7327276757 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2008-08-08 |
| Authorized Official Name | MR. D MICHAEL ASTARITA I (PRESIDENT/PRIMARY THERAPIST) |
| Authorized Official Telephone | 7325251149 |
| Authorized Official Credential | LSW,MSW,LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00112100 | NJ | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | 44SL05295000 | NJ | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 37LC00112100 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
147 N BROADWAY |
| City | SOUTH AMBOY |
| State | NJ |
| Zip Code | 08879-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295206225 | Vrajesh C Desai | Pharmacist | 1 Laurence Parkway, Laurence Harbor, NJ 08879 | 2018-12-17 |
| 1033661236 | Cmp Group,pc | Chiropractor | 540 Bordentown Road Suite 4900 4thfl, South Amboy, NJ 08879 | 2016-11-04 |
| 1992153035 | Joanne Cise | Counselor | One Lower Main Street, South Amboy, NJ 08879 | 2016-05-31 |
| 1134537673 | Jeffrey Gee | Dentist | 331 South Pine Ave, Morgan, NJ 08879 | 2014-07-29 |
| 1952736985 | Venetian Care and Rehabilitation Center | Skilled Nursing Facility | 275 John O'leary Boulevard, South Amboy, NJ 08879 | 2013-09-10 |
| 1194046490 | Rifaqat Baig | Family Medicine | 963 Route 9 North, South Amboy, NJ 08879 | 2010-06-21 |
| 1033446703 | Roque Manuel Crespo Jr. | Counselor | 1 Lower Main St, South Amboy, NJ 08879 | 2009-11-17 |
| 1124278718 | Andrew Jon Mcnulty | Psychologist | 59 Raritan Reach Rd, South Amboy, NJ 08879 | 2008-09-19 |
| 1801078779 | Primary and Preventative Internal Medicine of Central New Jersey, LLC | Internal Medicine | 2045 Us Highway 35 South, South Amboy, NJ 08879 | 2007-12-03 |
| 1891904124 | South Amboy Board of Education | Local Education Agency (LEA) | 240 John Street, South Amboy, NJ 08879 | 2007-05-22 |
| Find all providers in zip 08879 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174982680 | Brenda Olivieri Benson | Counselor | 1 Main St Lowr, South Amboy, NJ 08879-1142 | 2016-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH AMBOY |
| Zip Code | 08879 |
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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.