Healthcare Provider Details

I. General information

NPI: 1831024942
Provider Name (Legal Business Name): CLARITY 360
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N COUNTY LINE RD STE 300
JACKSON NJ
08527-0150
US

IV. Provider business mailing address

20 N COUNTY LINE RD STE 300
JACKSON NJ
08527-0150
US

V. Phone/Fax

Practice location:
  • Phone: 718-500-3060
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICOLE LIEBB
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 718-500-3060