Spectrum Health Care, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

10CC00058200 Issued in NJ

Legal business name

SPECTRUM HEALTH CARE, INC.

Practice address

74-80 Pacific Avenue
Jersey City, NJ 07304

Phone

(201) 451-2544

Fax

(201) 860-7864

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Edward P Cox

Title

Executive Director

Phone

(201) 451-2544

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SPECTRUM HEALTH CARE, INC. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Spectrum Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spectrum Health Care, Inc.

  • Methadone Clinic
  • Jersey City, NJ
  • NPI 1972855575
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L. Adams, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1407145980

  Rehabilitation, Substance Use Disorder

  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1588798102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-80 PACIFIC AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-451-2544",
            "fax_number": "201-860-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-80 PACIFIC AVENUE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07304",
            "telephone_number": "201-451-2544",
            "fax_number": "201-860-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-451-2544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "10CC00058200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7605706",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101109",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECTRUM HEALTH CARE, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samantha Leslie Sparta, AGAC-NP
• Spartaco Bellomo M.D.P.a.
• Speak-Eat-Smile Therapy
• Myriam Spears, D.O.
• Special Procedures
• Spectrum Health Care, Inc.
• Spectrum Healthcare
• Speech Quest Jcny
• Terrence Spence, LMT
• Nicole Spielsinger

• Methadone Clinic in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.