Active NPI
Passion Care Center of Monmouth
- Multi-Specialty Clinic/Center
- Howell, NJ
National Provider Identifier
1679112981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.