NPIMap

Organization Active NPI

Habit Opco

Doing business as New Street

  • Clinic/Center
  • Irvington, NJ
National Provider Identifier
1477797595
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2000004 Issued in NJ
Legal business name
HABIT OPCO
Doing business as
New Street
Practice address
57 New St
Irvington, NJ 07111-2444
Phone
(973) 373-2010
NPI assigned
Apr 21, 2009
Last updated
Apr 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mr. Vincent Apruzzese
Title
Vice President
Phone
(781) 356-8017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2000004 NJ Primary

Addresses

Primary practice location

57 New St
Irvington, NJ 07111-2444

Mailing address

639 Granite St
Braintree, MA 02184-5366
Phone (781) 356-8017

Other identifiers 1

IdentifierTypeStateIssuer
0191272MedicaidNJ

Other names 1

  • New Street Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Habit Opco LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1477797595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 GRANITE ST",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021845366",
            "telephone_number": "781-356-8017",
            "fax_number": "781-356-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NEW ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071112444",
            "telephone_number": "973-373-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIT OPCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "APRUZZESE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-356-8017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "2000004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0191272",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.