- Practice location
- 147 N Broadway, South Amboy, NJ 08879-1639
- Phone
- 732-525-1149
- Fax
- 732-727-6757
- Last updated
- August 8, 2008
169 N Stevens INC is a healthcare organization based in South Amboy, NJ. 169 N Stevens INC practices in South Amboy, NJ. The NPI Number for 169 N Stevens INC is 1225255961 and holds a License No. 37LC00112100 (NJ). The current practice location address for 169 N Stevens INC is 147 N Broadway, South Amboy, NJ 08879-1639 and can be reached out via phone at 732-525-1149 and via fax at 732-727-6757.
Provider Profile Details
- NPI Number
- 1225255961
- Provider Name
- 169 N Stevens INC
- Provider Entity Type
- Organization
- Address
- 147 N Broadway, South Amboy, NJ 08879-1639
- Phone Number
- 732-525-1149
- Fax Number
- 732-727-6757
- Primary Taxonomy
- Counselor · 101Y00000X
- Organization Subpart
- No
- Authorized Official
- Mr. D Michael Astarita, LSW, MSW, LCADC · President/Primary Therapist · 732-525-1149
- Provider Enumeration Date
- April 20, 2007
- Last Update Date
- August 8, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 147 N Broadway
South Amboy, NJ 08879-1639 - City
- South Amboy
- State
- New Jersey
- Zip
- 08879-1639
- Phone Number
- 732-525-1149
- Fax Number
- 732-727-6757
Provider Business Mailing Address Details
- Address
- Po Box 3251
South Amboy, NJ 08879-3251 - City
- South Amboy
- State
- NJ
- Zip
- 08879-3251
- Phone Number
- 732-525-1149
- Fax Number
- 732-727-6757
License Information
- License Number (1)
- 37LC00112100
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 44SL05295000
- License State (2)
- NJ
- Taxonomy (2)
- Counselor · 101Y00000X
- License Number (3)
- 37LC00112100
- License State (3)
- NJ
- Taxonomy (3)
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 169 N Stevens INC?
The NPI number of 169 N Stevens INC is 1225255961. It was assigned on April 20, 2007 and is currently active in the NPPES registry.
What is the specialty of 169 N Stevens INC?
169 N Stevens INC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37LC00112100.
Where does 169 N Stevens INC practice?
The practice location is 147 N Broadway, South Amboy, NJ 08879-1639. The office can be reached at 732-525-1149 (phone) or 732-727-6757 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1225255961 directly on the NPPES registry website.