Organization Active NPI

Spotlyte Behavioral Health of New Jersey PC

  • Family Medicine Physician
  • Somerville, NJ
National Provider Identifier
1538787270
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPOTLYTE BEHAVIORAL HEALTH OF NEW JERSEY PC
Practice address
335 E Main St
Somerville, NJ 08876-3109
Phone
(908) 864-4200
NPI assigned
Jul 9, 2020
Last updated
Oct 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Gregg Golin
Title
Manager
Phone
(856) 904-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

335 E Main St
Somerville, NJ 08876-3109

Mailing address

2275 Bridge Street
Arsenal Building 23
Philadelphia, PA 19137
Phone (856) 904-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Somerville Direct

National Provider Directory

National Provider Directory

Locations

1814 Route 70 E
Ste 350
Cherry Hill, NJ 08003
Phone (833) 333-5983

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21712/brand/4/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1538787270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 BRIDGE STREET",
            "address_2": "ARSENAL BUILDING 23",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19137",
            "telephone_number": "856-904-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763109",
            "telephone_number": "908-864-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTLYTE BEHAVIORAL HEALTH OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "GOLIN",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-904-5000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Somerville",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Somerville",
            "address_1": "335 E Main St",
            "city": "Somerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088763109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.