NPIMap

Organization Active NPI

Person Centered Squared PC2

Doing business as PC2

  • Developmental Disabilities Clinic/Center
  • Monroe TWP, NJ
National Provider Identifier
1952902470
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PERSON CENTERED SQUARED PC2
Doing business as
PC2
Practice address
220 Fernhead Ave
Monroe TWP, NJ 08831-8736
Phone
(732) 305-2587
NPI assigned
Nov 2, 2020
Last updated
Nov 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mr. Mark Edward HershNPI 1851949879
Title
Owner
Phone
(732) 995-9784

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

220 Fernhead Ave
Monroe TWP, NJ 08831-8736

Mailing address

220 Fernhead Ave
Monroe TWP, NJ 08831-8736
Phone (732) 305-2587

Other names 1

  • PC2 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pcpcsquared@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1952902470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 FERNHEAD AVE",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088318736",
            "telephone_number": "732-305-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FERNHEAD AVE",
            "city": "MONROE TWP",
            "state": "NJ",
            "postal_code": "088318736",
            "telephone_number": "732-305-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSON CENTERED SQUARED PC2",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "HERSH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-995-9784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pcpcsquared@gmail.com",
            "affiliation": "N",
            "address_1": "220 Fernhead Ave",
            "city": "Monroe Twp",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088318736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PC2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; 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.