Firstchance LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

FIRSTCHANCE LLC

Practice address

4 Chadwell CT
Neptune, NJ 07753-4205

Phone

(732) 859-7420

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Nasir Simmons

Title

Agency Head

Phone

(732) 859-7420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1972286045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHADWELL CT",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534205",
            "telephone_number": "732-859-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CHADWELL CT",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534205",
            "telephone_number": "732-859-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTCHANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "AGENCY HEAD",
        "authorized_official_telephone_number": "732-859-7420"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Octavio Fernandez, M.D.
• Felix A Fianko, M.D.
• Ryan G Fields, M.D.
• Charles Travis Filippone, PT
• Eliana Fine, MD
• Bruce D. Fisher, M.D.
• Gabrielle Fishman, AU.D
• Ashley Ruth Fister, PA
• John E. Fitzpatrick, M.D.
• Kelly West Fitzpatrick, MD

• Developmental Disabilities Clinic/Center in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Developmental Disabilities Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.