Organization Active NPI

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  • Adolescent and Children Mental Health Clinic/Center
  • Union City, NJ
National Provider Identifier
1275418915
Registry record updated Sep 11, 2025
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Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
BACK TO NEUTRAL
Practice address
500 Paterson Plank Rd Ste 31046
Union City, NJ 07087-3416
Phone
(732) 687-5630
NPI assigned
Aug 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Adam Michael Famigietti
Title
Owner
Phone
(732) 687-5630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

500 Paterson Plank Rd Ste 31046
Union City, NJ 07087-3416

Mailing address

500 Paterson Plank Rd Ste 31046
Union City, NJ 07087-3416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275418915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PATERSON PLANK RD STE 31046",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATERSON PLANK RD STE 31046",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873416",
            "telephone_number": "732-687-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO NEUTRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "FAMIGIETTI",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-687-5630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.