SOUTH BROAD STREET COUNSELING SERVICES INC (NPI# 1003014663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003014663 |
| Entity Type | Organization |
| Organization Name | SOUTH BROAD STREET COUNSELING SERVICES INC |
| Practice Address |
1418 South Broad Street Trenton NJ 08610 |
| Practice Telephone | 6093948000 |
| Mailing Telephone | 6093948000 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CLINTON H SCOTT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6093948000 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
2000283 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | SAI PROVIDER NUMBER | 0006033 | 01 |
| NJ | 8937401 | 05 |
| Street Address |
1418 SOUTH BROAD STREET |
| City | TRENTON |
| State | NJ |
| Zip Code | 08610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486766 | Merakey New Jersey | Community/Behavioral Health | 216 Borden Ave, Hamilton, NJ 08610 | 2018-02-06 |
| 1740641315 | Christiana Adiyiah Manu | Nurse Practitioner | 445 White Horse Ave Suit 202, Hamilton, NJ 08610 | 2016-03-10 |
| 1306226121 | Clinton Rebello | Military Health Care Provider | Mcguire Afb, Apo, AA 08610 | 2015-06-06 |
| 1780932848 | Lindsay Helen Hutchinson | Social Worker | 311 White Horse Ave Ste C, Hamilton, NJ 08610 | 2012-08-21 |
| 1366745176 | Family Care Physicians, LLC | Pediatrics | 445 Whitehorse Ave., Suites 100-101, Hamilton, NJ 08610 | 2010-12-16 |
| 1134454200 | Anna Marie Cesnik | Occupational Therapist | 1900 Arena Drive, Hamilton, NJ 08610 | 2009-10-07 |
| 1235341371 | Liberty Healthcare Services | Home Health | 1603 South Broad Street, Hamilton, NJ 08610 | 2007-05-03 |
| 1841312055 | Ziad Hadaya | Internal Medicine | 994 Whitehorse Ave, Hamilton, NJ 08610 | 2007-04-06 |
| 1487704193 | Marion Levy Bergman | Social Worker | 89 Marshall Ave, Hamilton, NJ 08610 | 2007-01-12 |
| 1003979048 | Ebele Edith Ufondu | Internal Medicine | 941 Whitehorse Avenue, Suite 14, Hamilton, NJ 08610 | 2006-12-19 |
| Find all providers in zip 08610 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1922622554 | Alkindi Medical Consultant | Clinic/Center | 99 Baldwin Pl, Bloomfield, NJ 07003-6030 | 2020-05-29 |
| 1558982439 | Omegahealth LLC | Clinic/Center | 90 E Halsey Rd Ste 333, Parsippany, NJ 07054-3709 | 2020-05-01 |
| 1588298962 | Gen-tel Medicine, LLC | Clinic/Center | The Center for Prevention and Counseling/dr.ganon, 61 Spring Street, First Floor, Newton, NJ 07860 | 2020-02-25 |
| 1134760754 | Medisure Inc. | Clinic/Center | 2310 Inverness Dr, Toms River, NJ 08753-6313 | 2019-10-04 |
| 1477012698 | Health and Integrative Wellness LLC | Clinic/Center | 59 E Mill Rd Ste 201-1, Long Valley, NJ 07853-6215 | 2019-03-18 |
| 1093289852 | Idama Healthcare | Clinic/Center | 4 S Orange Ave Suite 253, South Orange, NJ 07079-1702 | 2019-01-15 |
| 1992278709 | Dr David Bee and Associates LLC | Clinic/Center | 1304 Route 47 Unit M, Rio Grande, NJ 08242-1399 | 2019-01-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.