Metro East Community Care, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

METRO EAST COMMUNITY CARE, LLC.

Practice address

59 Main St Ste 206B
West Orange, NJ 07052-5333

Phone

(609) 837-3147

Fax

(973) 273-4333

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Darrell Peter Shoulars, M.A., M.A.NPI 1609422393

Title

Executive Director/Ceo

Phone

(609) 837-3147

Specialties & licenses 5

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darrell Peter Shoulars, M.A., M.A.

  • Developmental Disabilities Clinic/Center
  • Newark, NJ
  • NPI 1609422393
  NPD (past) Authorized official

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1366090581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MAIN ST STE 206B",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525333",
            "telephone_number": "609-837-3147",
            "fax_number": "973-273-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST STE 206B",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525333",
            "telephone_number": "609-837-3147",
            "fax_number": "973-273-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST COMMUNITY CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "SHOULARS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "609-837-3147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., M.A."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "metroeastcc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Organizational Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "59 Main St Ste 206B",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070525333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in West Orange, NJ
• Providers in West Orange, 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 Feb 21, 2020; 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.