Hazel Health Services Northeast PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HAZEL HEALTH SERVICES NORTHEAST PC

Doing business as

Hazel Health Services

Practice address

1400 Hooper Ave Ste 2
Toms River, NJ 08753-2981

Phone

(415) 424-4266

Fax

(415) 520-6633

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Brijit Reis

Title

President

Phone

(415) 424-4266

Specialties & licenses 5

Addresses

Other names 1

• Hazel Health Services Doing business as

Tax ID family

Hazel Health 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.

• Hazel Health Services Northeast PC

  • Pediatrics Physician
  • Toms River, NJ
  • NPI 1013776715
  NPD tax ID

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1174382790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 ESTERS BLVD STE 900",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632233",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOOPER AVE STE 2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532981",
            "telephone_number": "415-424-4266",
            "fax_number": "415-520-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZEL HEALTH SERVICES NORTHEAST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "BRIJIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-424-4266"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazel Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazel Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Titania Marie Hawkins, ED.D.
• Rufus Zachary Hay, DPT
• Phyllis Hayes-Beard, PHARMACIST
• Leanna A Haynes
• Hazel Health Services Northeast PC
• Health Hero NJ LLC
• Health Solutions Network
• Healthmates, Inc.
• Healthy Moves
• Healthy Moves Group Inc

• Clinical Social Worker in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.