Healthcare Provider Details

I. General information

NPI: 1568385847
Provider Name (Legal Business Name): FRANK JANKS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 LEROY PL
RED BANK NJ
07701-1711
US

IV. Provider business mailing address

205 BEVERLY WAY
NEPTUNE NJ
07753-5710
US

V. Phone/Fax

Practice location:
  • Phone: 732-299-8040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01271700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: