PUERTO RICAN ORG FOR COMMUNITY EDUCATIONAL & ECONOMIC DEVELOPMENT


Address: 1122 E. Grand St., Elizabeth, NJ 07201
Phone: 9083517727

PUERTO RICAN ORG FOR COMMUNITY EDUCATIONAL & ECONOMIC DEVELOPMENT (NPI# 1336486547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336486547
Entity Type Organization
Organization Name PUERTO RICAN ORG FOR COMMUNITY EDUCATIONAL & ECONOMIC DEVELOPMENT
Other Organization Name PROCEED INC
Practice Address 1122 E. Grand St.
Elizabeth
NJ 07201
Mailing Address 1126 Dickinson St
Elizabeth
NJ 07201-2404
Practice Telephone 9083517727
Practice Fax Number 9083535460
Mailing Telephone 9083517664
Mailing Fax Number 9083535460
Enumeration Date 2013-01-08
Last Update Date 2017-04-12
Authorized Official Name TERESA SOTO VEGA (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9083517664
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 2000311 NJ Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0340073 05

Other Provider/Organization Names

Other Name Type Code
PROCEED INC Doing Business As Name - Organization

Office Location

Street Address 1122 E. GRAND ST.
City ELIZABETH
State NJ
Zip Code 07201

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1346762911 Ronel Sajouste Non-emergency Medical Transport (VAN) 476 Adams Avenue, Elizabeth, NJ 07201 2017-07-14
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1881128932 Rosemarie Nielson Internal Medicine 557 Adams Ave, 1f, Elizabeth, NJ 07201 2017-04-15
1467995910 Lourdes E. Lherisson Optometrist 651 Kapkowski Rd., Ste. 1236, Elizabeth, NJ 07201 2016-11-30
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1194030338 Simbiat Oladiran-adighije Nurse Practitioner 614 Pennsylvania Avenue, 1st Floor, Elizabeth, NJ 07201 2010-08-12
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134746225 Community Access Unlimited Community/Behavioral Health 116 W Grand St Apt 1b, Elizabeth, NJ 07202-1400 2020-07-06
1053945162 Caring for Families Social Services Nj, LLC Community/Behavioral Health 940 Flora St Apt 1, Elizabeth, NJ 07201-1978 2020-02-27
1720629645 Neighbours-inc Community/Behavioral Health 556 Walnut St Fl 1, Elizabeth, NJ 07201-1105 2019-10-02
1659935484 Community Access Unlimited Inc. Community/Behavioral Health 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 2019-04-26
1093292492 Community Access Unlimited Inc Community/Behavioral Health 1470 Lower Road, Ground Floor, Elizabeth, NJ 07208 2018-07-27
1760903058 Serv Achievement Centers, Inc Community/Behavioral Health 637 Livingston Rd, Elizabeth, NJ 07208-1353 2017-06-28
1245763416 Community Access Unlimited Community/Behavioral Health 436 Morris Ave Apt 1, Elizabeth, NJ 07208-5609 2017-04-05
1093164998 Dna LLC Community/Behavioral Health 311 Rahway Avenue, Elizabeth, NJ 07202-1806 2016-06-10
1457736092 Community Access Unlimited Inc Community/Behavioral Health 1470 Lower Rd, Elizabeth, NJ 07208 2015-07-24
1912382557 Community Access Unlimited Community/Behavioral Health 414 Magie Ave, Elizabeth, NJ 07202 2015-07-24
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Competitor

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City ELIZABETH
Zip Code 07201

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Dataset Information

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.

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