| Positive Reset Services | |
|
100 Village Ct Ste 204 Hazlet NJ 07730-1548 | |
| (732) 784-8900 | |
| (732) 358-7300 |
| Full Name | Positive Reset Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Village Ct Ste 204, Hazlet, New Jersey |
| Authorized Official Name and Position | Vadim Luhovitsky (MEMBER) |
| Authorized Official Contact | 7323979900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Positive Reset Services 8 Hernandez Ct Old Bridge NJ 08857-4406 Ph: (732) 397-9900 | Positive Reset Services 100 Village Ct Ste 204 Hazlet NJ 07730-1548 Ph: (732) 784-8900 |
| NPI Number | 1144046285 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Medicare PECOS PAC ID | 6709367782 |
|---|---|
| Medicare Enrollment ID | O20260501000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144046285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
| Provider Name | Toni J Russo Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023427325 PECOS PAC ID: 9638484280 Enrollment ID: I20150813009624 |
| Provider Name | Paula a Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086821 PECOS PAC ID: 1557692688 Enrollment ID: I20191003002692 |
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