Qspot LGBT Community Center

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

QSPOT LGBT COMMUNITY CENTER

Practice address

66 S Main St
Ocean Grove, NJ 07756-1295

Phone

(732) 455-3373

NPI assigned

Oct 17, 2015

Last updated

Oct 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Mikytuck

Title

Executive Director

Phone

(646) 675-2726

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1518338409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S MAIN ST",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561295",
            "telephone_number": "732-455-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S MAIN ST",
            "city": "OCEAN GROVE",
            "state": "NJ",
            "postal_code": "077561295",
            "telephone_number": "732-455-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QSPOT LGBT COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "MIKYTUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-675-2726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lawrence Oliver, OTR/L
• Shayna Pannuzzo, LPC
• Zlata Zahava Pollak, APN
• Mary L. Power, PT
• Judith K Priest, MOT/L
• Pamela Quirk, NP - ADULT-GERO
• Angeles Linzey Rios
• Charles T Rogers, OT
• Brenda T Rother, MACCCSLP
• Jean Christopher Scott, MSPT

• Public Health or Welfare Agency in Ocean Grove, NJ
• Providers in Ocean Grove, NJ by specialty
• Public Health or Welfare Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.