Jsas Healthcare, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

2000316 Issued in NJ

Legal business name

JSAS HEALTHCARE, INC.

Practice address

685 Neptune Blvd
Ste 101
Neptune, NJ 07753-4118

Phone

(732) 988-8877

Fax

(732) 988-2572

NPI assigned

Oct 3, 2012

Last updated

Sep 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward J. Higgins, M.A.

Title

Executive Director

Phone

(732) 988-8877

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jersey Shore Addiction Services Former legal business name

Tax ID family

Jersey Shore Addiction Services2 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.

• Jsas Healthcare, Inc.

  • Methadone Clinic
  • Neptune, NJ
  • NPI 1750376133
  NPD tax ID

Locations

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1164774998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 NEPTUNE BLVD",
            "address_2": "STE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534118",
            "telephone_number": "732-988-8877",
            "fax_number": "732-988-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NEPTUNE BLVD",
            "address_2": "STE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534118",
            "telephone_number": "732-988-8877",
            "fax_number": "732-988-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSAS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-988-8877",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "2000316",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7632801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Addiction Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jersey Shore Addiction Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Valerie Johnson-Green, RN
• David L Johnson, MD
• Zanniah Jones Glover
• Gifty Jose, PA-C
• Crystal Ann Joworski, LPC
• Jsas Healthcare, Inc.
• Karolina Kaczmarczyk, MD, MPH
• Parul M Kadakia, PA
• Steven William Kairys, MD, MPH
• Kalm Behavioral Health

• Methadone Clinic in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.