Individual provider Active NPI

Jason Neely

  • Marriage & Family Therapist
  • Edison, NJ
National Provider Identifier
1245515337
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00233000 Issued in NJ
Practice address
800 Amboy Ave Ste B
Edison, NJ 08837-3247
Phone
(732) 301-4704
NPI assigned
Oct 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF1736 MA
Marriage & Family Therapist 106H00000X 37FI00233000 NJ Primary

Addresses

Primary practice location

800 Amboy Ave Ste B
Edison, NJ 08837-3247

Mailing address

811 Amboy Ave Ste B
Edison, NJ 08837-3275
Phone (732) 301-4704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MF1736MAMDMarriage & Family Therapist
37FI00233000NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Family Autism Center CurrentSince May 25, 2025 Accepting new patients
Easley and Associates LLC PastSince May 1, 2013 Accepting new patients

Locations

811 Amboy Ave
Ste B
Edison, NJ 08837
Phone (732) 301-4704

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1245515337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 AMBOY AVE STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373275",
            "telephone_number": "732-301-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AMBOY AVE STE B",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373247",
            "telephone_number": "732-301-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "MF1736",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00233000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.