Suburban Health Clinic of Toms River

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SUBURBAN HEALTH CLINIC OF TOMS RIVER

Practice address

Suburban Health Clinic of Toms River
10 Mule Rd
Toms River, NJ 08755-5028

Phone

(732) 797-9944

NPI assigned

Aug 25, 2022

Organization subpart

No

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

Authorized official

Name

Brad Skokowski, LCADC

Title

Executive Director

Phone

(856) 287-1952

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Mar 22, 2024

Enrollment records 1

Practitioners 3

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

• Irene Grgurich Cergnul, MD

  • Family Medicine Physician
  • Union, NJ
  • NPI 1871683987
  NPD
• Mariah Persaud, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Toms River, NJ
  • NPI 1932951027
  NPD
• Anthony Scrofine, PMHNP-BC, LCADC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toms River, NJ
  • NPI 1386496370
  NPD

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1043939754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUBURBAN HEALTH CLINIC OF TOMS RIVER",
            "address_2": "10 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-797-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUBURBAN HEALTH CLINIC OF TOMS RIVER",
            "address_2": "10 MULE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087555028",
            "telephone_number": "732-797-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HEALTH CLINIC OF TOMS RIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "SKOKOWSKI",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-287-1952",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stress Care of New Jersey, LLC
• Theresa A Strunk, PHD
• Anna Leigh Stulz, NP-C
• Jose R Suatengco, MD
• Loida Valdez Suatengco, M.D.
• Erin C Suk, PA-C
• Doris Sullivan, LCSW
• Jesse Brian Sullivan, PHARMD
• Tamar Sullivan
• Timothy Sullivan, RPH

• Clinic/Center in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.