North-Star Care of New Jersey PC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

NORTH-STAR CARE OF NEW JERSEY PC

Practice address

1368 Pilchuck Way
Fox Island, WA 98333-2111

Phone

(855) 302-9191

NPI assigned

Nov 7, 2024

Organization subpart

Yes

Parent organization

NORTH-STAR CAREAs reported in NPPES

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

Authorized official

Name

Amanda Wilson, MD

Title

Ceo/Founder

Phone

(855) 302-9191

Specialties & licenses 1

Addresses

Part of

North-Star Care

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• North-Star Care

  • Addiction Medicine (Internal Medicine) Physician
  • Fox Island, WA
  • NPI 1467169581
  NPPES parent name

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1295558229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MARKETPLACE BLVD # 1136",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086912111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 PILCHUCK WAY",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983332111",
            "telephone_number": "855-302-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH-STAR CARE OF NEW JERSEY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH-STAR CARE",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "855-302-9191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce G Macdonald, MD
• Jacqueline May, MA, LMHC
• Angela K Narlock
• North-Star Care
• North-Star Care of Michigan
• Ava Elizabeth Pierson
• Lisa Ann Scheuffele, PT
• Heidi Katherine Shaffer, OTR/L
• Andrea Lila Thomas, LAC DIPL. OM EAMP
• Barbara Wellner, M.ED.

• Addiction Medicine (Internal Medicine) Physician in Fox Island, WA
• Providers in Fox Island, WA by specialty
• Addiction Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.