Journey to Wellness, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000437-09 Issued in NJ

Legal business name

JOURNEY TO WELLNESS, INC.

Practice address

222 New Brunswick Ave
Perth Amboy, NJ 08861-4126

Phone

(732) 709-7440

NPI assigned

Sep 7, 2010

Last updated

Sep 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Komissarenko

Title

President/ Ceo

Phone

(732) 709-7440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Journey to Wellness Inc2 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.

• Journey to Wellness, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Perth Amboy, NJ
  • NPI 1013141639
  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, and the practitioner matching its NPPES authorized official.

• Philip Feldman, PHD

  • Clinical Social Worker
  • Perth Amboy, NJ
  • NPI 1932538634
  Medicare reassignment NPD

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1699082164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW BRUNSWICK AVE",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088614126",
            "telephone_number": "732-709-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY TO WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "KOMISSARENKO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "732-709-7440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000437-09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212377",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S. Rajapakse, MD PA
• David C Johnson, LTM
• Vaidehi Jonna, M.D.
• Yaelle C Joselit, MS RDN
• Journey to Wellness, Inc.
• Viktoriya Kaminskaya, PHARMD
• Cynthia Kaserkie
• Irene Kathuria, D.D.S.
• Jurgita Katkauskaite, MSN, APRN, FNP-C
• Baljot Kaur, PMHNP

• Substance Use Disorder Rehabilitation Clinic/Center in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.