NPIMap

Organization Active NPI

Centerpath Wellness, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plainfield, NJ
National Provider Identifier
1962459552
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
204050104 Issued in NJ
Legal business name
CENTERPATH WELLNESS, INC
Practice address
117 Roosevelt Ave
Plainfield, NJ 07060-1331
Phone
(908) 756-6870
Fax
(908) 756-5566
NPI assigned
May 28, 2006
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Omar Soberal
Title
VP Revenue
Phone
(732) 955-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 204050104 NJ Primary

Addresses

Primary practice location

117 Roosevelt Ave
Plainfield, NJ 07060-1331

Mailing address

1215-1217 Main Street
Asbury Park, NJ 07712
Phone (732) 955-8373

Other identifiers 2

IdentifierTypeStateIssuer
0015105MedicaidNJ
7640706MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090429000330 NJ Part B Supplier - Clinic/Group Practice 0042368136 Receives reassigned benefits from 9 practitioners
Practice locations: Plainfield, NJ

National Provider Directory

National Provider Directory

Locations

117 Roosevelt Ave
Plainfield, NJ 07060
Phone (908) 756-6870

117 Roosevelt Ave
Ste 119
Plainfield, NJ 07060

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1962459552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215-1217 MAIN STREET",
            "city": "ASBURY PARK",
            "state": "NJ",
            "postal_code": "07712",
            "telephone_number": "732-955-8373",
            "fax_number": "908-756-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROOSEVELT AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070601331",
            "telephone_number": "908-756-6870",
            "fax_number": "908-756-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERPATH WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "SOBERAL",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "VP REVENUE",
        "authorized_official_telephone_number": "732-955-8373"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "204050104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015105",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7640706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.