Active NPI
The Passion Care Center
- Professional Counselor
- Perth Amboy, NJ
National Provider Identifier
1164913786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- THE PASSION CARE CENTER
- Practice address
- 187 Fayette St
Perth Amboy, NJ 08861-4140 - Phone
- (267) 909-8264
- Fax
- (215) 525-0272
- NPI assigned
- May 21, 2018
- 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
- Omar Riley
- Title
- Account Manager
- Phone
- (267) 909-8264
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NJ | Primary | |
| Psychiatry Physician | 2084P0800X |
Addresses
Primary practice location
187 Fayette St
Perth Amboy, NJ 08861-4140
Mailing address
187 Fayette St
Perth Amboy, NJ 08861-4140
Phone (267) 909-8264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0398012 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- The Passion Care Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Perth Amboy, NJ
- NPI 1326477027
-
- Adult Mental Health Clinic/Center
- Perth Amboy, NJ
- NPI 1043682149
-
- Addiction (Substance Use Disorder) Counselor
- Perth Amboy, NJ
- NPI 1982179180
Locations
187 Fayette St
Perth Amboy, NJ 08861
Phone (732) 406-0021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526860800000",
"number": "1164913786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 FAYETTE ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614140",
"telephone_number": "267-909-8264",
"fax_number": "215-525-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 FAYETTE ST",
"city": "PERTH AMBOY",
"state": "NJ",
"postal_code": "088614140",
"telephone_number": "267-909-8264",
"fax_number": "215-525-0272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PASSION CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "ACCOUNT MANAGER",
"authorized_official_telephone_number": "267-909-8264"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NJ",
"license": null,
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0398012",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perth Amboy, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.