60 MEDICAL ASSOCIATES LLC NPI 1174914782

NPI Information

  • NPI: 1174914782
  • Provider Name: 60 MEDICAL ASSOCIATES LLC
  • Classification: Psychologist - 103TA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 60 WALNUT AVE STE 200
    CLARK, NJ
    ZIP 07066
  • Phone: (732) 882-1920

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NPI Details

60 MEDICAL ASSOCIATES LLC is an addiction (substance use disorder) psychologist in Clark, NJ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. 60 MEDICAL ASSOCIATES LLC NPI is 1174914782. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

60 WALNUT AVE STE 200
CLARK, NJ
ZIP 07066-647
Phone: (732) 882-1920

The provider's authorized official is James Stokes .
The authorized official title is Ceo and has the following contact phone number (561) 318-4455.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.

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
1103TA0400XPsychologistAddiction (Substance Use Disorder)Yes

What is NPI?

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This page was last updated on: 11/21/2025

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