Excel Treatment Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXCEL TREATMENT CENTER

Practice address

477 State Route 10 Ste 206
Randolph, NJ 07869-2147

Phone

(973) 879-3076

NPI assigned

Nov 29, 2011

Last updated

Nov 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony F Polito Jr., LCSW LCADCNPI 1477684454

Title

Ceo

Phone

(973) 879-3076

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Anthony Frank Polito Jr., M.S.W

  • Clinical Social Worker
  • Rockaway, NJ
  • NPI 1477684454
  Authorized official Same address or phone

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1053688507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 STATE ROUTE 10 STE 206",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692147",
            "telephone_number": "973-879-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 STATE ROUTE 10 STE 206",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078692147",
            "telephone_number": "973-879-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-29",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "POLITO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-879-3076",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grigoriy Efros, D.M.D., MS
• Leigh S Ende, M.D.
• Robert HK Eng, M.D.
• Rona G. Epstein, MA, CCC-SLP
• Essex County Weightloss, LLC
• Excel Treatment Center of Randolph, LLC
• Tyler Faede, PT, DPT
• Lauren Marie Falvey, P.A.
• Family and Cosmetic Dentistry of Randolph, LLC
• Family Medicine Associates of Randolph LLC

• Community/Behavioral Health Agency in Randolph, NJ
• Providers in Randolph, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.