# AFFECT PROVIDER GROUP OF NEW JERSEY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922897438
- **Authorized official:** DOUG ELWOOD (PRESIDENT)
- **Authorized official phone:** (951) 514-5420

## Contact information

- **Practice address:** 44 APPLE ST STE 1, TINTON FALLS, NJ 07724-2672
- **Practice address phone:** (845) 769-8758
- **Mailing address:** 116 N 3RD ST STE 3, DANVILLE, KY 40422-1691
- **Mailing address phone:** (845) 769-8758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2025
- **Last updated:** 10/07/2025