Active NPI
Spotlyte Behavioral Health of New Jersey PC
- Family Medicine Physician
- Somerville, NJ
National Provider Identifier
1538787270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Somerville | Direct |
National Provider Directory
National Provider DirectoryLocations
1814 Route 70 E
Ste 350
Cherry Hill, NJ 08003
Phone (833) 333-5983
Interoperability endpoints
- 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.