Spectrum Health Care, Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

10CC00058200 Issued in NJ

Legal business name

SPECTRUM HEALTH CARE, INC.

Practice address

74 Pacific Ave
Jersey City, NJ 07304-3216

Phone

(201) 860-6100

Fax

(201) 860-7864

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Edward P Cox

Title

Executive Director

Phone

(201) 860-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Spectrum Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Spectrum Health Care, Inc.

  • Methadone Clinic
  • Jersey City, NJ
  • NPI 1588798102
  NPD tax ID

Locations

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1972855575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PACIFIC AVE",
            "address_2": "80",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043216",
            "telephone_number": "201-860-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PACIFIC AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043216",
            "telephone_number": "201-860-6100",
            "fax_number": "201-860-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-860-6100"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NJ",
            "license": "10CC00058200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WFNJ",
            "identifier": "7605706",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Methadone Clinic in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Methadone Clinic in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.