Segall Therapeutics

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SEGALL THERAPEUTICS

Practice address

220 Faraday Ave
Jackson, NJ 08527-5073

Phone

(732) 859-1464

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Benjamin Segall, LCSW

Title

Owner

Phone

(732) 859-1464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1629453675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 KLETSK HILL RD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012971",
            "telephone_number": "732-859-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FARADAY AVE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275073",
            "telephone_number": "732-859-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGALL THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "SEGALL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-859-1464",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Andrew Sclafani, D.D.S
• Katy Michelle Scovill, MA, BCBA
• Anna Sedar, PHARMD
• Seeds of Change Health & Wellness Coaching, LLC
• Mindy Segal
• Eric Segall, D.M.D
• Select Dental Jackson LLC
• Mukesh Shah, M.D
• Sarah Shapiro
• Nivedita Sharma, M.D.

• Social Worker in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.