Ubefitllc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

UBEFITLLC

Practice address

360 Stiles St
Vauxhall, NJ 07088-1329

Phone

(908) 265-0916

Fax

(908) 688-7959

NPI assigned

Nov 2, 2015

Last updated

Nov 2, 2015By 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

Dr. Dexter Juan Davis, ED.D., LCADCNPI 1124486477

Title

Coo

Phone

(908) 688-4462

Specialties & licenses 1

Addresses

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.

• Dexter Juan Davis, ED.D LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Vauxhall, NJ
  • NPI 1124486477
  NPD (past) Authorized official

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1730552647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 STILES ST",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881329",
            "telephone_number": "908-265-0916",
            "fax_number": "908-688-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STILES ST",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881329",
            "telephone_number": "908-265-0916",
            "fax_number": "908-688-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UBEFITLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "JUAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-688-4462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Vauxhall, NJ
• Providers in Vauxhall, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.