SPECTRUM HEALTHCARE
NPI 1164186375
Clinic/Center - Methadone in Jersey City, NJ
About Spectrum Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECTRUM HEALTHCARE (NPI 1164186375) is a healthcare organization registered as a methadone in Jersey City, New Jersey and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Diana Thompson, Case Manger, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D2201360
Spectrum Health Care, Inc · Jersey City, NJOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Spectrum Healthcare's NPI number?
The NPI number for Spectrum Healthcare is 1164186375. It was assigned to this organization in the NPPES registry on October 25, 2021.
Where is Spectrum Healthcare located?
Spectrum Healthcare is located at 74-80 Pacific Avenue, Jersey City, NJ 07304. The listed phone number is (201) 451-2544.
What is Spectrum Healthcare's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.
Does Spectrum Healthcare hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2201360) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Spectrum Healthcare was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Spectrum Healthcare · NPI 1164186375
Methadone organization in Jersey City, New Jersey. Organization record, active in the CMS NPPES registry since October 25, 2021.
## Identity
- **NPI:** 1164186375 (Entity type: Organization)
- **Enumerated:** October 25, 2021
- **Primary specialty:** Clinic/Center - Methadone · taxonomy 261QM2800X
- **Organization subpart:** No
- **Authorized official:** Diana Thompson, CASE MANGER
## Practice location
- **Address:** 74-80 PACIFIC AVENUE, Jersey City, NJ 07304
- **Phone:** (201) 451-2544
## Record status
- **NPPES last updated:** October 25, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164186375) · Data from the CMS NPPES public registry.