Organization Active NPI

Puerto Rican Organization for Community Education and Economic Develop

Doing business as PROCEED Inc.

  • Community/Behavioral Health Agency
  • Elizabeth, NJ
National Provider Identifier
1245764414
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000634 Issued in NJ
Legal business name
PUERTO RICAN ORGANIZATION FOR COMMUNITY EDUCATION AND ECONOMIC DEVELOP
Doing business as
PROCEED Inc.
Practice address
1126 Dickinson St
Elizabeth, NJ 07201-2404
Phone
(908) 351-7664
NPI assigned
Apr 14, 2017
Last updated
Apr 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Teresa Soto Vega
Title
Executive Director
Phone
(908) 351-7664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2000634 NJ Primary

Addresses

Primary practice location

1126 Dickinson St
Elizabeth, NJ 07201-2404

Mailing address

1126 Dickinson St
Elizabeth, NJ 07201-2404
Phone (908) 351-7664

Other names 1

  • PROCEED Inc. Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2334669Proceed Inc1126 Dickinson Street, Elizabeth, NJ 07201Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1245764414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012404",
            "telephone_number": "908-351-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 DICKINSON ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012404",
            "telephone_number": "908-351-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICAN ORGANIZATION FOR COMMUNITY EDUCATION AND ECONOMIC DEVELOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "SOTO VEGA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-351-7664"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCEED Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.