Atlantic Family Wellness Center LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00119700 Issued in NJ

Legal business name

ATLANTIC FAMILY WELLNESS CENTER LLC

Practice address

222 Serpentine Dr
Bayville, NJ 08721-3227

Phone

(732) 801-4505

Fax

(732) 269-8385

NPI assigned

Sep 5, 2013

Last updated

Sep 5, 2013By 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

Dr. Betty Jarusiewicz, PHD

Title

Ceo

Phone

(732) 801-4505

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1053746461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 CYPRESS DR",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213110",
            "telephone_number": "732-801-4505",
            "fax_number": "732-269-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SERPENTINE DR",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213227",
            "telephone_number": "732-801-4505",
            "fax_number": "732-269-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC FAMILY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "JARUSIEWICZ",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-801-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00119700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Bayville, NJ
• Providers in Bayville, 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 Sep 5, 2013; 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.