THE PASSION CARE CENTER NPI 1164913786

NPI Information

NPI: 1164913786
Provider Name: THE PASSION CARE CENTER
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
187 FAYETTE ST
PERTH AMBOY, NJ
ZIP 08861
Phone: (267) 909-8264
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THE PASSION CARE CENTER is a professional counselor in Perth Amboy, NJ. THE PASSION CARE CENTER NPI is 1164913786. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

187 FAYETTE ST
PERTH AMBOY, NJ
ZIP 08861-140
Phone: (267) 909-8264
Fax: (215) 525-0272

The provider's authorized official is Omar Riley .
The authorized official title is Account Manager and has the following contact phone number (267) 909-8264.

The enumeration date for this NPI number is 5/21/2018 and was last updated on 5/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional		NEW JERSEY	Yes
2	2084P0800X	Psychiatry & Neurology	Psychiatry			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0398012	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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