Organization Active NPI

New Brunswick Counseling Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • New Brunswick, NJ
National Provider Identifier
1801915848
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
10CC00056100 Issued in NJ
Legal business name
NEW BRUNSWICK COUNSELING CENTER
Practice address
320 Suydam St
New Brunswick, NJ 08901-2417
Phone
(732) 246-4025
Fax
(732) 246-1214
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Sandra Lutomski, LCSW, LCADCNPI 1841680345
Title
Executive Director
Phone
(732) 246-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 10CC00056100 NJ Primary

Addresses

Primary practice location

320 Suydam St
New Brunswick, NJ 08901-2417

Mailing address

320 Suydam St
New Brunswick, NJ 08901-2417
Phone (732) 246-4025

Other identifiers 2

IdentifierTypeStateIssuer
0102300MedicaidNJ
7604700OtherNJWORK 1ST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Opioid treatment program
Medicare-enrolled since Apr 15, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200814001576 NJ Part B Supplier - Opioid Treatment Program (Otp) 9537585070 1 other NPI on this enrollment
Practice locations: Mount Holly, NJ; New Brunswick, NJ
O20250328001033 NJ Part B Supplier - Clinic/Group Practice 9537585070 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Mount Holly, NJ; New Brunswick, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
New Brunswick Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1801915848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SUYDAM ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012417",
            "telephone_number": "732-246-4025",
            "fax_number": "732-246-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUYDAM ST",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012417",
            "telephone_number": "732-246-4025",
            "fax_number": "732-246-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRUNSWICK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LUTOMSKI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-246-4025",
        "authorized_official_credential": "LCSW, LCADC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "10CC00056100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK 1ST",
            "identifier": "7604700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.