Puerto Rican Org for Community Educational & Economic Development

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2000311 Issued in NJ

Legal business name

PUERTO RICAN ORG FOR COMMUNITY EDUCATIONAL & ECONOMIC DEVELOPMENT

Practice address

1122 E. Grand St.
Elizabeth, NJ 07201

Phone

(908) 351-7727

Fax

(908) 353-5460

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• PROCEED INC Doing business as

Locations

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1336486547",
    "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",
            "fax_number": "908-353-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E. GRAND ST.",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07201",
            "telephone_number": "908-351-7727",
            "fax_number": "908-353-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICAN ORG FOR COMMUNITY EDUCATIONAL & ECONOMIC DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2017-04-12",
        "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": "2000311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340073",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCEED INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prima RX LLC
• Primary Care Partners, LLC
• Brianna N Pryor
• Psychiatry & Mental Health LLC
• Psychotherapy Solutions LLC
• Puerto Rican Organization for Community Education and Economic Develop
• Eleanor M. Puetz, NURSE PRACTITIONER
• Asha Pumarada, PT
• James Pumarada, PT
• Ahad Qasim, DO

• Community/Behavioral Health Agency in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.