NPIMap

Organization Active NPI

Jersey Behavioral Care LLC

Doing business as NJP counseling center

  • Mental Health Counselor
  • Somerset, NJ
National Provider Identifier
1043853328
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JERSEY BEHAVIORAL CARE LLC
Doing business as
NJP counseling center
Practice address
220 Davidson Ave Ste 306
Somerset, NJ 08873-4144
Phone
(917) 701-9588
NPI assigned
Oct 19, 2019
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
JERSEY BEHAVIORAL CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Mr. Felix Grinberg
Title
President
Phone
(732) 685-7277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

220 Davidson Ave Ste 306
Somerset, NJ 08873-4144

Mailing address

9 Huxley CT
Marlboro, NJ 07746-2140
Phone (732) 685-7277

Other names 1

  • NJP counseling center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170615000042 NJ Part B Supplier - Clinic/Group Practice 4183992142 Receives reassigned benefits from 17 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Somerset, NJ; Union, NJ

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Jersey Behavioral Care LLC2 organizations share this tax ID, including this one
Part of
Jersey Behavioral Care LLC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1571443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1043853328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HUXLEY CT",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077462140",
            "telephone_number": "732-685-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DAVIDSON AVE STE 306",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734144",
            "telephone_number": "917-701-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY BEHAVIORAL CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JERSEY BEHAVIORAL CARE, LLC",
        "enumeration_date": "2019-10-19",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "GRINBERG",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-685-7277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NJP counseling center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.