First Choice Recovery Center PC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

Legal business name

FIRST CHOICE RECOVERY CENTER PC

Practice address

61 N Maple Ave Ste 302
Ridgewood, NJ 07450-3232

Phone

(201) 956-9483

Fax

(201) 288-5262

NPI assigned

Jun 23, 2021

Organization subpart

No

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

Authorized official

Name

Manoj Puthiyathu, MD

Title

Owner

Phone

(201) 956-9483

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 7

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

• Gregory Wells Jr, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Ridgewood, NJ
  • NPI 1427725811
  NPD
• Kenneth William Cartaxo, MD

  • Family Medicine Physician
  • Morristown, NJ
  • NPI 1083700702
  NPD (past)
• Frank Cunningham, M.D.

  • Emergency Medicine Physician
  • New Brunswick, NJ
  • NPI 1740358068
  NPD (past)
• Jonathan S. Schiffman, MD

  • Pediatrics Physician
  • Passaic, NJ
  • NPI 1528068830
  NPD (past)
• Mark F Vogel, MD

  • Emergency Medicine Physician
  • Ridgewood, NJ
  • NPI 1811947138
  NPD (past)
• Anthony Dowidowicz, M.D.,

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1053403840
  NPD (past)
• Jessica Freedman, MD

  • Emergency Medicine Physician
  • Ny, NY
  • NPI 1538137583
  NPD (past)

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1962071910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE STE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503232",
            "telephone_number": "201-956-9483",
            "fax_number": "201-288-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 N MAPLE AVE STE 302",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503232",
            "telephone_number": "201-956-9483",
            "fax_number": "201-288-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE RECOVERY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PUTHIYATHU",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-956-9483",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA09523700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank James Ferraro Jr., M.D.
• Marie Angelie Ferrer, PHYSICAL THERAPIST
• Danielle Ferrigno, LAC
• Julia Feuer, RN, FNP, PMHNP
• Lisa A Finnegan, ANP
• Mary Ann Fiscella, DC
• Zvi H Fischer, M.D.
• Christina Maria Fitzsimmons, LCSW
• Heather Flaherty, MSW, LSW
• Lisa A. Flatley, PA-C

• Addiction (Substance Use Disorder) Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Addiction (Substance Use Disorder) Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.