CLEARWATERS HEALTH AND WELLNESS (NPI# 1558723148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558723148 |
| Entity Type | Organization |
| Organization Name | CLEARWATERS HEALTH AND WELLNESS |
| Practice Address |
615 Hope Rd Building 5b Eatontown NJ 07724-1277 |
| Practice Telephone | 7329822673 |
| Practice Fax Number | 8484564599 |
| Mailing Telephone | 7329822673 |
| Mailing Fax Number | 8484564599 |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |
| Authorized Official Name | MS. MARYCELINE LOTT (REGISTERED NURSE) |
| Authorized Official Telephone | 7329822673 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
26NO06244100 | NJ | Nursing Service Providers |
| Street Address |
615 HOPE RD BUILDING 5B |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-1277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205812005 | Saad A Saad | Surgery | 615 Hope Rd, Bld 1 A, Eatontown, NJ 07724-1277 | 2005-12-22 |
| 1497261440 | Katie Blossfeld | Social Worker | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-12-28 |
| 1174064489 | Ashley Shanahan | Counselor | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2017-03-20 |
| 1760923684 | Alternatives Inc. | Community/Behavioral Health | 615 Hope Rd, Bldg 2, Eatontown, NJ 07724-1277 | 2017-03-10 |
| 1033657085 | Heather Koenigsfest | Counselor | 615 Hope Rd, Building 3a, Eatontown, NJ 07724-1277 | 2017-02-09 |
| 1407201627 | Geralda Vilus | Nurse Practitioner | 615 Hope Rd, 5a, Eatontown, NJ 07724-1277 | 2016-04-25 |
| 1396100020 | Joanne Peterson | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-12-23 |
| 1871978577 | Princeton Healthcare System | Psychiatric Hospital | 615 Hope Rd, Eatontown, NJ 07724-1277 | 2015-07-23 |
| 1144617887 | Matthew Benedict Ona | Registered Nurse | 615 Hope Rd, Bldg 5 Visiting Physician Services, Eatontown, NJ 07724-1277 | 2015-04-21 |
| 1528455227 | Elizabeth Rodrigues | Nurse Practitioner | 615 Hope Rd, Building 5a, Eatontown, NJ 07724-1277 | 2015-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1336749217 | Jessica Mcalinden | Registered Nurse | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2020-10-29 |
| 1407455801 | Tiffany Renee Greene | Registered Nurse | 751 Route 37 W, Toms River, NJ 08755-5032 | 2020-10-19 |
| 1912533712 | Jacqueline Graham | Registered Nurse | 1580 Route 9 N, Cape May Court House, NJ 08210-1416 | 2020-03-13 |
| 1003455650 | Alison Lemke | Registered Nurse | 751 Route 37 W, Toms River, NJ 08755-5032 | 2019-12-31 |
| 1558900100 | Jillian Anne Buckles | Registered Nurse | 751 Route 37 W, Toms River, NJ 08755-5032 | 2019-12-31 |
| 1245875871 | Marissa Leigh Ott | Registered Nurse | 37 Sunset Inn Rd, Lafayette, NJ 07848-2214 | 2019-11-07 |
| 1528612264 | James Bixler | Registered Nurse | 801 New York Ave, Trenton, NJ 08638-3913 | 2019-07-31 |
| 1619521341 | Stephon Austin | Registered Nurse | 801 New York Ave, Trenton, NJ 08638-3913 | 2019-07-31 |
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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.