Individual provider Active NPI

Clarence Cutsforth, DSC.

  • Naturopath
  • Holmdel, NJ
National Provider Identifier
1710692629
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Practice address
100 Commons Way Ste 250
Holmdel, NJ 07733-2936
Phone
(949) 289-1273
NPI assigned
Jan 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X Primary
Mental Health Counselor 101YM0800X
Nutrition Education Nutritionist 133NN1002X
Health & Wellness Coach 171400000X
Homeopath 175L00000X

Addresses

Primary practice location

100 Commons Way Ste 250
Holmdel, NJ 07733-2936

Mailing address

100 Commons Way Ste 250
Holmdel, NJ 07733-2936
Phone (949) 289-1273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sirlance@ancillarynyc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Pax Wellness LLC Naturopath Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1710692629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMONS WAY STE 250",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332936",
            "telephone_number": "949-289-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS WAY STE 250",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332936",
            "telephone_number": "949-289-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTSFORTH",
        "first_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "DSC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sirlance@ancillarynyc.com",
            "affiliation": "N",
            "endpointDescription": "Secure email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Commons Way Ste 250",
            "city": "Holmdel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077332936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.