The Collaborative Healthcare Group of NJ

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

THE COLLABORATIVE HEALTHCARE GROUP OF NJ

Practice address

1598 Rte 130
North Brunswick, NJ 08902-3040

Phone

(877) 328-7112

Fax

(877) 260-9979

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By 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

Kevin Scott Macniven, MBA

Title

Ceo

Phone

(877) 328-7112

Specialties & licenses 10

Addresses

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Scott Abend, D.O.

  • Family Medicine Physician
  • North Brunswick, NJ
  • NPI 1609806454
  NPD
• Paul Abend, DO

  • Physical Medicine & Rehabilitation Physician
  • Metuchen, NJ
  • NPI 1922165349
  NPD
• Jose C Costa, MD

  • Gastroenterology Physician
  • East Brunswick, NJ
  • NPI 1043491830

  Internal Medicine

  NPD
• Ronald Howard Sheppard, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Watchung, NJ
  • NPI 1679589261
  NPD
• James L Amato Sr., MD

  • Cardiovascular Disease Physician
  • East Orange, NJ
  • NPI 1689627267
  NPD (past)
• Mario R Capio, M.D.

  • Family Medicine Physician
  • Pompton Plains, NJ
  • NPI 1356383863
  NPD (past)
• Glenn A Davison, DPM

  • Podiatrist
  • Union, NJ
  • NPI 1285743559
  NPD (past)
• Amjad Khan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Edison, NJ
  • NPI 1649272022

  Family Medicine

  NPD (past)
• Howard D Noveck, M.D.

  • Interventional Cardiology Physician
  • Edison, NJ
  • NPI 1871543389

  Internal Medicine

  NPD (past)
• Nora A Taha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Elmwood Park, NJ
  • NPI 1962632695
  NPD (past)
• Enas Tuppo, MD

  • Family Medicine Physician
  • Hawthrone, NJ
  • NPI 1346240215
  NPD (past)

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1275356560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STONE HILL RD",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080505618",
            "telephone_number": "877-328-7112",
            "fax_number": "877-260-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1598 RTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023040",
            "telephone_number": "877-328-7112",
            "fax_number": "877-260-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COLLABORATIVE HEALTHCARE GROUP OF NJ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "MACNIVEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-328-7112",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of New Jersey
• The Arc of New Jersey
• The Center for Great Expectations
• The Center for Great Expectations
• The Center for Great Expectations, Inc.
• The Foot and Ankle Group PC
• The Healing Tree Counseling & Consultation, LLC
• The Smile Express PA
• The Youth Success Network LLC
• Sindhu Thogarchedu, LPC, BC-DMT, NCC

• Internal Medicine Physician in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.