NPI Code Detail JSON Logo

1922897438 NPI number — AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.

NPI Number: 1922897438
Health Care Provider/Practitioner: AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.

Information about “1922897438” NPI (AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.) exists in 1922897438 in HTML format HTML  |  1922897438 in plain Text format TXT  |  1922897438 in PDF (Portable Document Format) PDF  |  1922897438 in an XML format XML  formats.

NPI Number : 1922897438 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922897438",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "116 N 3RD ST STE 3",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DANVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40422-1691",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "845-769-8758",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "44 APPLE ST STE 1",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TINTON FALLS",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07724-2672",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "845-769-8758",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/01/2025",
    "LastUpdateDate": "10/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ELWOOD",
    "AuthorizedOfficialFirstName": "DOUG",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "951-514-5420",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.