JSAS HEALTHCARE INC. NPI 1750376133

NPI Information

NPI: 1750376133
Provider Name: JSAS HEALTHCARE, INC.

Former Legal Business Name: JERSEY SHORE ADDICTION SERVICES

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

CLIA Number: 31D2201688

Address:
685 NEPTUNE BLVD
SUITE 101
NEPTUNE, NJ
ZIP 07753
Phone: (732) 988-8877
Get Directions

JSAS HEALTHCARE, INC. is a methadone clinic center in Neptune, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. JSAS HEALTHCARE, INC. NPI is 1750376133. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jersey Shore Addiction Services.

The provider's business location address is:

685 NEPTUNE BLVD
SUITE 101
NEPTUNE, NJ
ZIP 07753-118
Phone: (732) 988-8877
Fax: (732) 988-2572

The provider's authorized official is Diane Villari .
The authorized official title is Deputy Executive/coo and has the following contact phone number (732) 988-8877.

The CLIA number assigned to this NPI record is 31D2201688 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2005 and was last updated on 10/24/2023.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM2800X	Clinic/Center	Methadone	41340	NEW JERSEY	Yes

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	0102806	MEDICAID	NEW JERSEY
2	7632801	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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