Organization Active NPI

Juniper Wellness

  • Community/Behavioral Health Agency
  • Ocean, NJ
National Provider Identifier
1073071601
Registry record updated Mar 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JUNIPER WELLNESS
Practice address
1316 Opdyke Ave
Ocean, NJ 07712-4646
Phone
(732) 237-6053
NPI assigned
Mar 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2019

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

Authorized official

Name
Mr. Kevin Michael McGee
Title
Co-Owner
Phone
(732) 237-6053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1316 Opdyke Ave
Ocean, NJ 07712-4646

Mailing address

1316 Opdyke Ave
Ocean, NJ 07712-4646
Phone (732) 237-6053

Other identifiers 1

IdentifierTypeStateIssuer
0450332871OtherNJSTATE OF NEW JERSEY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551484800000",
    "number": "1073071601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 OPDYKE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124646",
            "telephone_number": "732-237-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OPDYKE AVE",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124646",
            "telephone_number": "732-237-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-02",
        "last_updated": "2019-03-02",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-237-6053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEW JERSEY",
            "identifier": "0450332871",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2019; 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.