NPIMap

Organization Active NPI

Stress Care of New Jersey, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Matawan, NJ
National Provider Identifier
1487178802
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2000593 Issued in NJ
Legal business name
STRESS CARE OF NEW JERSEY, LLC
Practice address
4122 Route 516
Matawan, NJ 07747-7031
Phone
(732) 679-4500
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Authorized official

Name
Alex Smuklavskiy
Title
Ceo
Phone
(732) 679-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2000593 NJ Primary

Addresses

Primary practice location

4122 Route 516
Matawan, NJ 07747-7031

Mailing address

4122 Route 516
Matawan, NJ 07747-7031
Phone (732) 679-4500

Other identifiers 1

IdentifierTypeStateIssuer
0464481MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Stress Care of New Jersey LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501113600000",
    "number": "1487178802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 ROUTE 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477031",
            "telephone_number": "732-679-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 ROUTE 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477031",
            "telephone_number": "732-679-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRESS CARE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A",
        "authorized_official_last_name": "SMUKLAVSKIY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-679-4500"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464481",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.