NPIMap

Organization Active NPI

Jersey Behavioral Care LLC

  • 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
Practice address
220 Davidson Ave Ste 306
Somerset, NJ 08873-4144
Phone
(917) 701-9588
NPI assigned
Oct 19, 2019
Organization subpart
Yes
Parent organization
JERSEY BEHAVIORAL CARE, LLCAs reported in NPPES

Authorized official

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Other NPIs on the same Medicare enrollment 1

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

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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

National Provider Directory

National Provider Directory
Part of
Jersey Behavioral Care LLC

Locations

220 Davidson Ave
Ste 306
Somerset, NJ 08873
Phone (732) 997-0707

2333 Morris Ave
Ste C206
Union, NJ 07083
Phone (908) 291-2727

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPPES NPI Registry
  • NJP counseling center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2020.

{
    "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.