Pas Substance Abuse, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1025102 Issued in FL

Legal business name

PAS SUBSTANCE ABUSE, INC.

Practice address

2017 Avenue D
Fort Pierce, FL 34950

Phone

(772) 486-0733

NPI assigned

Jun 28, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Albert Pegozzi

Title

Owner/Ceo

Phone

(772) 486-0733

Specialties & licenses 1

Addresses

Tax ID family

P a S Substance Abuse Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• P a S Substance Abuse Inc

  • Case Management Agency
  • Fort Pierce, FL
  • NPI 1013363175
  NPD tax ID

Locations

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1386139699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 AVENUE D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-486-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 AVENUE D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "34950",
            "telephone_number": "772-486-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAS SUBSTANCE ABUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "PEGOZZI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "772-486-0733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1025102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gunchul Park, MD
• Jessica Parker
• Shaquanda Parker, CNA
• Samantha Parlin
• Denise Parton, RN
• Rebecca Mines Paschall, ARNP
• Abhishekkumar Rakeshbhai Patel
• Chandni Prashant Patel, MD
• Keval Patel, DMD
• Nikita Nayan Patel, MD

• Substance Abuse Rehabilitation Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.