NPIMap

Organization Active NPI

The Passion Care Center

  • Adult Mental Health Clinic/Center
  • Perth Amboy, NJ
National Provider Identifier
1043682149
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
2000575 Issued in NJ
Legal business name
THE PASSION CARE CENTER
Practice address
187 Fayette Street
Perth Amboy, NJ 08861
Phone
(732) 410-7102
Fax
(732) 400-8503
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Eliezer Santiago, MA, MBA
Title
President
Phone
(732) 410-7102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 2000575 NJ Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 20005750575 NJ

Addresses

Primary practice location

187 Fayette Street
Perth Amboy, NJ 08861

Mailing address

187 Fayette Street
Perth Amboy, NJ 08861
Phone (732) 410-7102

National Provider Directory

National Provider Directory
Tax ID family
The Passion Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1043682149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 FAYETTE STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-410-7102",
            "fax_number": "732-400-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 FAYETTE STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-410-7102",
            "fax_number": "732-400-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PASSION CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-410-7102",
        "authorized_official_credential": "MA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": "2000575",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NJ",
            "license": "20005750575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.