Intervention Specialist

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

INTERVENTION SPECIALIST

Practice address

583 Cherry St
Elizabeth, NJ 07208-1754

Phone

(973) 953-8896

Fax

(973) 953-8896

NPI assigned

Dec 12, 2017

Organization subpart

Yes

Parent organization

ENTERPRISE ALLIANCE GROUP DBA INTERVENTION SPECIALISTAs reported in NPPES

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

Authorized official

Name

Mr. Rohan Campbell

Title

Chief Executive Officer

Phone

(908) 289-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Intervention Specialist3 organizations share this tax ID, including this one

Part of

Intervention Specialist

Other organizations with this tax ID 2

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

• Enterprise Alliance Group Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elizabeth, NJ
  • NPI 1619740107
  NPD tax ID
• Intervention Specialist

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elizabeth, NJ
  • NPI 1750755963
  NPD tax ID

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1043725161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6063",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070529063",
            "telephone_number": "973-953-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "583 CHERRY ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081754",
            "telephone_number": "973-953-8896",
            "fax_number": "973-953-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTION SPECIALIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ENTERPRISE ALLIANCE GROUP DBA INTERVENTION SPECIALIST",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ROHAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "908-289-0700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAI",
            "identifier": "0501433",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Injury Brake Chiropractic
• Injury Brake Chiropractic Center, LLC
• Innovations Med Spa
• Integrated Wound Specialists of Elizabeth, LLC
• International Acupuncture, PC
• Intervention Specialist
• Intervention Specialists LLC
• Abiha Iqbal, MD
• Unzela Iqbal
• Clara B Irizarry, PA-C

• Addiction (Substance Use Disorder) Counselor in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.