MR. DANNIS SHELLY BILLUPS JR.


Address: 3805 Route 33, 2, Neptune, NJ 07753-3260
Phone: 8484696639

MR. DANNIS SHELLY BILLUPS JR. (NPI# 1730560277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730560277
Entity Type Individual
Full Name MR. DANNIS SHELLY BILLUPS JR.
Credential CADC
Practice Address 3805 Route 33
2
Neptune
NJ 07753-3260
Practice Telephone 8484696639
Practice Fax Number 7238977701
Mailing Telephone 8484696639
Mailing Fax Number 7238977701
Enumeration Date 2015-06-10
Last Update Date 2015-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
37CA00125700 NJ Ambulatory Health Care Facilities

Office Location

Street Address 3805 ROUTE 33
2
City NEPTUNE
State NJ
Zip Code 07753-3260

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1952950800 Matthew Aaron Brigle Psychologist 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 2019-09-04
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1619520178 Morning Glory Behavioral Health Partial Care Program LLC Clinic/Center 645 Neptune Blvd, Neptune, NJ 07753-4118 2019-07-23
1053640201 Guiding Light Behavioral Health, Inc. Clinic/Center 1930 Heck Ave, Bldg. 3 Suite 1, Neptune, NJ 07753-4476 2009-12-17

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1558905380 Grace Community Development Center Clinic/Center 100 Melville Ln, Willingboro, NJ 08046-2912 2019-11-05
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1326607243 Recovery Zone Solutions, LLC Clinic/Center 124 East Main Street, Ste#109, Denville, NJ 07834 2019-06-13
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Competitor

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City NEPTUNE
Zip Code 07753

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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