A Revolving Door

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A REVOLVING DOOR

Practice address

94 Stevens Ave
Jersey City, NJ 07305-3054

Phone

(252) 903-0768

NPI assigned

Apr 18, 2016

Last updated

Apr 18, 2016By 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

Lisa Mercer

Title

Director

Phone

(252) 903-0768

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1346694155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 STEVENS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 STEVENS AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073053054",
            "telephone_number": "252-903-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A REVOLVING DOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-903-0768"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.