Passion Care Center

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000575 Issued in NJ

Legal business name

PASSION CARE CENTER

Practice address

187 Fayette Street
Perth Amboy, NJ 08861

Phone

(732) 410-7102

Fax

(732) 400-8503

NPI assigned

Nov 4, 2013

Last updated

Jan 17, 2019By 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

Mr. Eliezer Santiago, M.A., M.B.A.

Title

Progrma Administrator

Phone

(732) 410-7102

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

The Passion Care Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Passion Care Center

  • Adult Mental Health Clinic/Center
  • Perth Amboy, NJ
  • NPI 1043682149
  NPD tax ID
• The Passion Care Center

  • Professional Counselor
  • Perth Amboy, NJ
  • NPI 1164913786
  NPD tax ID
• The Passion Care Center

  • Addiction (Substance Use Disorder) Counselor
  • Perth Amboy, NJ
  • NPI 1982179180
  NPD tax ID

Practitioners 1

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.

• Kassandra Rodriguez, LPC

  • Marriage & Family Therapist
  • Hoboken, NJ
  • NPI 1831729011
  Medicare reassignment NPD

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1326477027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 FAYETTE STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-410-7102",
            "fax_number": "732-400-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 FAYETTE STREET",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-410-7102",
            "fax_number": "732-400-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "PROGRMA ADMINISTRATOR",
        "authorized_official_telephone_number": "732-410-7102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., M.B.A."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paramount Chiropractic & Rehabilitation
• Frank Parisi, MD
• Jennifer Park
• Christopher Parra Jimenez, RN
• Passion Behavioral Health LLC
• Amanda E. Passman, LCSW
• Madhusudanarao Pasupuleti, M.D.
• Amrish Patel, MD
• Charmy H Patel, D.M.D.
• Hardi Patel, DNP

• Substance Use Disorder Rehabilitation Clinic/Center in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.