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
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
10/07/2025
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