Organization Active NPI

Anna M Hudak, MSW LCSW

Doing business as Monarch Wellness Center

  • Community/Behavioral Health Agency
  • Spring Lake, NJ
National Provider Identifier
1992126767
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC05304400 Issued in NJ
Legal business name
ANNA M HUDAK, MSW LCSW
Doing business as
Monarch Wellness Center
Practice address
1010 Route 71
Unit 202
Spring Lake, NJ 07762-3222
Phone
(908) 419-4722
Fax
(732) 280-8514
NPI assigned
Dec 21, 2013
Last updated
Sep 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Mrs. Anna M Hudak, LCSWNPI 1720166036
Title
Owner
Phone
(908) 419-4721

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05304400 NJ Primary

Addresses

Primary practice location

1010 Route 71
Unit 202
Spring Lake, NJ 07762-3222

Mailing address

1010 Route 71 Ste 2
Spring Lake, NJ 07762-3223
Phone (732) 338-9242

Other names 1

  • Monarch Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140113000269 NJ Part B Supplier - Clinic/Group Practice 6507094869 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Lake, NJ

National Provider Directory

National Provider Directory

Locations

1010 State Route 71
Ste 2
Spring Lake, NJ 07762
Phone (908) 419-4721

1010 State Route 71
Unit 202
Spring Lake, NJ 07762
Phone (908) 419-4722

804 State Route 71
Spring Lake, NJ 07762
Phone (732) 795-5511

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": "1387584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1992126767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ROUTE 71 STE 2",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077623223",
            "telephone_number": "732-338-9242",
            "fax_number": "732-280-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ROUTE 71",
            "address_2": "UNIT 202",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077623222",
            "telephone_number": "908-419-4722",
            "fax_number": "732-280-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA M HUDAK, MSW LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-21",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-419-4721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC05304400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monarch Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.