Imperfectly Perfect Iic

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

IMPERFECTLY PERFECT IIC

Practice address

485C US Highway 1 S Ste 100
Iselin, NJ 08830-3016

Phone

(848) 229-5237

NPI assigned

Oct 13, 2022

Organization subpart

No

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

Authorized official

Name

Artresia Fryar, LCSWNPI 1750974135

Title

Owner

Phone

(848) 229-5237

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Artresia Fryar

  • Social Worker
  • Somerset, NJ
  • NPI 1750974135
  NPD Authorized official

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1629794524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485C US HIGHWAY 1 S STE 100",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303016",
            "telephone_number": "848-229-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485C US HIGHWAY 1 S STE 100",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088303016",
            "telephone_number": "848-229-5237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERFECTLY PERFECT IIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "FRYAR",
        "authorized_official_first_name": "ARTRESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "848-229-5237",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "afryarlsw@gmail.com",
            "affiliation": "N",
            "address_1": "485C US Highway 1 S Ste 100",
            "city": "Iselin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088303016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Hunton, P.A.-C
• Henry Adewole Ibitokun, APN-C
• Dina Ibrahim, DPM
• Amaka Ikemefuna, APN
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• Indegene Healthcare LLC
• Invitae Corporation
• Iselin Adult Day Care Center LLC
• Iselin Surgicare LLC (rita surgicare)
• Iselin Therapy Services LLC

• Adolescent and Children Mental Health Clinic/Center in Iselin, NJ
• Providers in Iselin, NJ by specialty
• Adolescent and Children Mental Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.