Active NPI
Emdazz Health Services
Doing business as Fastrack Community Supports
- Community/Behavioral Health Agency
- Brick, NJ
National Provider Identifier
1740192996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EMDAZZ HEALTH SERVICES
- Doing business as
- Fastrack Community Supports
- Practice address
- 1617 Route 88 Ste 205
Brick, NJ 08724-3010 - Phone
- (609) 906-1179
- Fax
- (732) 860-9994
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- 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
- Dazzlyn Maame-Gyamfua, REGISTERED NURSE
- Title
- Don
- Phone
- (609) 906-1179
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
1617 Route 88 Ste 205
Brick, NJ 08724-3010
Mailing address
1617 New Jersey 88
205
Brick, NJ 08724
Other names 1
- FASTRACK COMMUNITY SUPPORTS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1740192996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 NEW JERSEY 88",
"address_2": "205",
"city": "BRICK",
"state": "NJ",
"postal_code": "08724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 ROUTE 88 STE 205",
"city": "BRICK",
"state": "NJ",
"postal_code": "087243010",
"telephone_number": "609-906-1179",
"fax_number": "732-860-9994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMDAZZ HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-18",
"status": "A",
"authorized_official_last_name": "MAAME-GYAMFUA",
"authorized_official_first_name": "DAZZLYN",
"authorized_official_title_or_position": "DON",
"authorized_official_telephone_number": "609-906-1179",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FASTRACK COMMUNITY SUPPORTS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.