Catholic Charities Diocese of Metuchen

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

37AC00142600 Issued in NJ

Legal business name

CATHOLIC CHARITIES DIOCESE OF METUCHEN

Practice address

26 Safran Ave
Edison, NJ 08837-3510

Phone

(732) 738-1323

Fax

(732) 738-3896

NPI assigned

Jun 5, 2013

Organization subpart

No

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

Authorized official

Name

Desi Isidro

Title

Clinical Supervisor

Phone

(732) 738-1323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1386082907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAFRAN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373510",
            "telephone_number": "732-738-1323",
            "fax_number": "732-738-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SAFRAN AVE",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373510",
            "telephone_number": "732-738-1323",
            "fax_number": "732-738-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES DIOCESE OF METUCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "ISIDRO",
        "authorized_official_first_name": "DESI",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "732-738-1323"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "37AC00142600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Cassidy, MD
• Bonnie Cassorla, SLP
• William Michael Cassotis
• Isamar Castaneda
• Rafael Alfred Rivera Castro, PTRP,RPT
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen
• Catholic Charities, Diocese of Metuchen

• Community/Behavioral Health Agency in Edison, NJ
• Providers in Edison, 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 Jun 5, 2013; 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.