Catholic Charities, Diocese of Metuchen

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

CATHOLIC CHARITIES, DIOCESE OF METUCHEN

Practice address

271 Smith St
Perth Amboy, NJ 08861-4005

Phone

(732) 826-9160

NPI assigned

Mar 5, 2007

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Julio J CotoNPI 1477686509

Title

Assistant Executive Director

Phone

(732) 324-8200

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Bridgewater, NJ
  • NPI 1124157367

  O20040406001533

  Same enrollment
• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Phillipsburg, NJ
  • NPI 1457480600

  O20040406001533

  Same enrollment
• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Flemington, NJ
  • NPI 1750410908

  O20040406001533

  Same enrollment
• Catholic Charities, Diocese of Metuchen

  • Marriage & Family Therapist
  • Perth Amboy, NJ
  • NPI 1932263456

  O20040406001533

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julio Jorge Coto, LCSW

  • Clinical Social Worker
  • Perth Amboy, NJ
  • NPI 1477686509
  Authorized official Same address or phone
• Allison Flynn Becker, LCSW

  • Clinical Social Worker
  • Phillipsburg, NJ
  • NPI 1790101707
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1033248034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MAPLE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614101",
            "telephone_number": "732-324-8200",
            "fax_number": "732-324-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 SMITH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614005",
            "telephone_number": "732-826-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES, DIOCESE OF METUCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "COTO",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-324-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "001980",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Carroll, BA
• Sebastian S Casillas-Berumen, MD
• Cathedral Community Counseling Center
• Catholic Charities Diocese of Metuchen
• Catholic Charities-Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen

• Community Health Clinic/Center in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Community Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.