Jsas Healthcare, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

41340 Issued in NJ

Legal business name

JSAS HEALTHCARE, INC.

Practice address

685 Neptune Blvd
Suite 101
Neptune, NJ 07753-4118

Phone

(732) 988-8877

Fax

(732) 988-2572

NPI assigned

Sep 13, 2005

Organization subpart

No

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

Authorized official

Name

Diane Villari, MS

Title

Deputy Executive/Coo

Phone

(732) 988-8877

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jersey Shore Addiction Services Former legal business name

Medicare fee-for-service enrollment

Enrolled in NJ

Opioid treatment program

Medicare-enrolled since Jan 5, 2021

Enrollment records 1

Tax ID family

Jersey Shore Addiction Services2 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.

• Jsas Healthcare, Inc.

  • Methadone Clinic
  • Neptune, NJ
  • NPI 1164774998
  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.

• Bruce Patsner, M.D.

  • Addiction Psychiatry Physician
  • Neptune, NJ
  • NPI 1497775753
  NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1750376133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 NEPTUNE BLVD",
            "address_2": "SUITE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534118",
            "telephone_number": "732-988-8877",
            "fax_number": "732-988-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NEPTUNE BLVD",
            "address_2": "SUITE 101",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534118",
            "telephone_number": "732-988-8877",
            "fax_number": "732-988-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSAS HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "VILLARI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DEPUTY EXECUTIVE/COO",
        "authorized_official_telephone_number": "732-988-8877",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "41340",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102806",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7632801",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jersey Shore Addiction Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jersey Shore Addiction Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• David L Johnson, MD
• Zanniah Jones Glover
• Gifty Jose, PA-C
• Crystal Ann Joworski, LPC
• Jsas Healthcare, Inc.
• Karolina Kaczmarczyk, MD, MPH
• Parul M Kadakia, PA
• Steven William Kairys, MD, MPH
• Kalm Behavioral Health
• Chunilal M Kansagra, MD

• Methadone Clinic in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.