Organization Active NPI

Passion Care Center of Monmouth

  • Multi-Specialty Clinic/Center
  • Howell, NJ
National Provider Identifier
1679112981
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PASSION CARE CENTER OF MONMOUTH
Practice address
42 Markwood Dr
Howell, NJ 07731-2349
Phone
(267) 909-8264
Fax
(215) 525-0272
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Mr. Omar Riley
Title
Manager
Phone
(267) 909-8264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

42 Markwood Dr
Howell, NJ 07731-2349

Mailing address

187 Fayette St
Perth Amboy, NJ 08861-4140
Phone (267) 909-8264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1679112981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 FAYETTE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614140",
            "telephone_number": "267-909-8264",
            "fax_number": "215-525-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MARKWOOD DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077312349",
            "telephone_number": "267-909-8264",
            "fax_number": "215-525-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION CARE CENTER OF MONMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "267-909-8264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.