Clear Waters Health and Wellness PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLEAR WATERS HEALTH AND WELLNESS PC

Practice address

615 Hope Road , Building 5B, 2F
Attn: Mr. Kurt Ferber
Tinton Falls, NJ 07724

Phone

(800) 710-4300

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Julie Leib, M.D.

Title

Owner

Phone

(800) 710-4300

Specialties & licenses 1

Addresses

Tax ID family

Clear Waters Health and Wellness PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clearwaters Health and Wellness

  • Addiction (Substance Use Disorder) Registered Nurse
  • Eatontown, NJ
  • NPI 1558723148
  NPD tax ID

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1104200484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORBETT WAY",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077242283",
            "telephone_number": "800-710-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE ROAD , BUILDING 5B, 2F",
            "address_2": "ATTN: MR. KURT FERBER",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "800-710-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR WATERS HEALTH AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "LEIB",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-710-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis G Cianci
• Michael Joseph Cisar, D.M.D
• Risa Clay, LCADC
• Adriana Clayton
• Clear Waters Behavioral Health PC
• Cocco Enterprises Inc
• Sara Codispoti
• Jason D Cohen, MD
• Kris Colabella, LCSW
• Sharon D Collins, LCSW

• Health Service Clinic/Center in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Health Service Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.