Active NPI
Supportive Connections
- Case Management Agency
- Brick, NJ
National Provider Identifier
1104330331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- SUPPORTIVE CONNECTIONS
- Practice address
- 256 Cherry Quay Rd
Brick, NJ 08723-6306 - Phone
- (732) 610-1065
- NPI assigned
- Nov 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stefanie Thomas
- Title
- Director
- Phone
- (732) 610-1065
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
256 Cherry Quay Rd
Brick, NJ 08723-6306
Mailing address
256 Cherry Quay Rd
Brick, NJ 08723-6306
Phone (732) 610-1065
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511740800000",
"number": "1104330331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 CHERRY QUAY RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236306",
"telephone_number": "732-610-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 CHERRY QUAY RD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236306",
"telephone_number": "732-610-1065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPPORTIVE CONNECTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "STEFANIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-610-1065"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.