Panacea Group LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PANACEA GROUP LLC

Practice address

1060 Main St Ste 200
River Edge, NJ 07661-2591

Phone

(201) 803-4100

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Steven Santangelo, LCADCNPI 1548929136

Title

Owner/Ceo

Phone

(201) 803-4100

Specialties & licenses 1

Addresses

Other names 1

• Panacea Counseling Services Doing business as

Locations

Practitioners 3

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

• Steven Santangelo

  • Addiction (Substance Use Disorder) Counselor
  • River Edge, NJ
  • NPI 1548929136
  NPD Authorized official
• Penny Santangelo, LPC

  • Professional Counselor
  • North Brunswick, NJ
  • NPI 1194209429

  Mental Health

  NPD
• Tiffany Villarroel, LSW, LCADC

  • Social Worker
  • Springfield, NJ
  • NPI 1144962143
  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1467136267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-803-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "201-803-4100",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Panacea Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Optimum Orthopedics Physical Therapy River Edge, LLC
• Brendon G Oreilly, LSW
• Crystal Marie Otero, HIS
• Gulben Ozer Bozoglu, RPH
• Frederick Michael Paff Jr., LAC
• Paramount Pathways
• Angel Park, LCAT
• Hyunsoo Park, L.AC
• James Park, PT, DPT
• Shivani Kamlesh Patel

• Mental Health Counselor in River Edge, NJ
• Providers in River Edge, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.