Support Connection LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUPPORT CONNECTION LLC

Practice address

32 South St
Red Bank, NJ 07701-2214

Phone

(732) 933-4399

NPI assigned

Jan 23, 2018

Organization subpart

No

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

Authorized official

Name

Adam Cohen

Title

President

Phone

(732) 933-4399

Specialties & licenses 1

Addresses

Other names 1

• Support Connection LLC Other name

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1124526389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012214",
            "telephone_number": "732-933-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 SOUTH ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012214",
            "telephone_number": "732-933-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT CONNECTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-933-4399"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Support Connection LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Management Agency in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.