Organization Active NPI

Nesivos Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Toms River, NJ
National Provider Identifier
1588424840
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NESIVOS HEALTH LLC
Practice address
1172 Fischer Blvd
Toms River, NJ 08753-3096
Phone
(973) 678-5500
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Mr. Moshe Rosenberg
Title
Founder
Phone
(917) 697-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1172 Fischer Blvd
Toms River, NJ 08753-3096

Mailing address

576 Central Ave Ste 301
East Orange, NJ 07018-1943
Phone (917) 697-4445

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2311991Nesivos Health LLC1172 Fischer Blvd, Toms River, NJ 08753Certificate of waiverOct 1, 2026

National Provider Directory

National Provider Directory

Locations

1172 Fischer Blvd
Toms River, NJ 08753
Phone (732) 534-7800

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1588424840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 CENTRAL AVE STE 301",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070181943",
            "telephone_number": "917-697-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 FISCHER BLVD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533096",
            "telephone_number": "973-678-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESIVOS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-697-4445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.