Complexcm LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMPLEXCM LLC

Practice address

222 Jack Martin Blvd BLDG E3
Brick, NJ 08724-7772

Phone

(732) 965-3360

Fax

(732) 965-3361

NPI assigned

Oct 11, 2019

Organization subpart

No

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

Authorized official

Name

Susan Katz, RN, MSN

Title

Clinical Director

Phone

(718) 650-1320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1750923652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 JACK MARTIN BLVD BLDG E3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247772",
            "telephone_number": "732-965-3360",
            "fax_number": "732-965-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 JACK MARTIN BLVD BLDG E3",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247772",
            "telephone_number": "732-965-3360",
            "fax_number": "732-965-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEXCM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "718-650-1320",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Brick, NJ
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.