Active NPI
Joel Scott Pomales, CPRS
- Peer Specialist
- Eatontown, NJ
National Provider Identifier
1760146633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 500 Crawford St
Eatontown, NJ 07724-2958 - Phone
- (732) 887-7256
- Fax
- (732) 659-9394
- NPI assigned
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NJ | Primary |
Addresses
Primary practice location
500 Crawford St
Eatontown, NJ 07724-2958
Mailing address
500 Crawford St
Eatontown, NJ 07724-2958
Phone (732) 887-7256
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Eatontown | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1760146633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CRAWFORD ST",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242958",
"telephone_number": "732-887-7256",
"fax_number": "732-659-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CRAWFORD ST",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077242958",
"telephone_number": "732-887-7256",
"fax_number": "732-659-9394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMALES",
"first_name": "JOEL",
"middle_name": "SCOTT",
"credential": "CPRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Eatontown",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "500 Crawford St",
"city": "Eatontown",
"state": "NJ",
"country_code": "US",
"postal_code": "077242958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Eatontown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.