Organization Active NPI

Supportive Connections

  • Case Management Agency
  • Brick, NJ
National Provider Identifier
1104330331
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Nov 27, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.