Organization Active NPI

Stress Care of New Jersey, LLC

  • Urgent Care Clinic/Center
  • Manalapan, NJ
National Provider Identifier
1548872153
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
STRESS CARE OF NEW JERSEY, LLC
Practice address
500 Park Ave
Manalapan, NJ 07726-8375
Phone
(732) 679-4500
Fax
(732) 679-4549
NPI assigned
Aug 17, 2020
Last updated
Aug 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

500 Park Ave
Manalapan, NJ 07726-8375

Mailing address

PO Box 612
Englishtown, NJ 07726-0612
Phone (732) 679-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.stresscareclinic.com

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": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1548872153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 612",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077260612",
            "telephone_number": "732-679-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARK AVE",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268375",
            "telephone_number": "732-679-4500",
            "fax_number": "732-679-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRESS CARE OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.stresscareclinic.com",
            "affiliation": "N",
            "address_1": "500 Park Ave",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077268375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

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