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1164774998 NPI number — JSAS HEALTHCARE, INC.

NPI Number: 1164774998
Health Care Provider/Practitioner: JSAS HEALTHCARE, INC.

Information about “1164774998” NPI (JSAS HEALTHCARE, INC.) exists in 1164774998 in HTML format HTML  |  1164774998 in plain Text format TXT  |  1164774998 in PDF (Portable Document Format) PDF  |  1164774998 in an XML format XML  formats.

NPI Number : 1164774998 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1164774998",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JSAS HEALTHCARE, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "685 NEPTUNE BLVD",
    "SecondLineMailingAddress": "STE 101",
    "MailingAddressCityName": "NEPTUNE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07753-4118",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "732-988-8877",
    "MailingAddressFaxNumber": "732-988-2572",
    "FirstLinePracticeLocationAddress": "685 NEPTUNE BLVD",
    "SecondLinePracticeLocationAddress": "STE 101",
    "PracticeLocationAddressCityName": "NEPTUNE",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07753-4118",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "732-988-8877",
    "PracticeLocationAddressFaxNumber": "732-988-2572",
    "EnumerationDate": "10/03/2012",
    "LastUpdateDate": "09/21/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HIGGINS",
    "AuthorizedOfficialFirstName": "EDWARD",
    "AuthorizedOfficialMiddleName": "J.",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.A.",
    "AuthorizedOfficialTelephoneNumber": "732-988-8877",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM2800X",
          "TaxonomyName": "Methadone Clinic",
          "LicenseNumber": "2000316",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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