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Organization
AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.
Active
Organization
AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG ELWOOD (PRESIDENT)
(951) 514-5420
Entity
Organization
Contact information
Practice address
44 APPLE ST STE 1, TINTON FALLS, NJ 07724-2672
(845) 769-8758
Mailing address
116 N 3RD ST STE 3, DANVILLE, KY 40422-1691
(845) 769-8758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
10/07/2025
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