FAMILY SERVICE BUREAU OF NEWARK (NPI# 1396994588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396994588 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE BUREAU OF NEWARK |
| Practice Address |
379 Kearny Ave Kearny NJ 07032-2601 |
| Mailing Address |
274 S Orange Ave 2nd Floor Newark NJ 07103-2419 |
| Practice Telephone | 2012468077 |
| Practice Fax Number | 2019556165 |
| Mailing Telephone | 9734122056 |
| Mailing Fax Number | 9734843452 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | CHI SHU CHOU (DIRECTOR OF OPERATION) |
| Authorized Official Telephone | 9734122056 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
2000025-04 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0597911 | 05 |
| Other Name | Type Code |
|---|---|
| Gateway to Freedom | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346535663 | Family Service Bureau of Newark | Community/Behavioral Health | 274 South Orange Avenue, Newark, NJ 07103 | 2011-06-15 |
| 1376673814 | Family Service Bureau of Newark | Community/Behavioral Health | 274 S Orange Ave, 2nd Floor, Newark, NJ 07103-2419 | 2007-03-06 |
| 1730658774 | Family Service Bureau of Newark | Psychiatry & Neurology | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| 1376012310 | Family Service Bureau of Newark | Psychiatry & Neurology | 274 S Orange Ave, Newark, NJ 07103-2419 | 2018-11-20 |
| 1205305166 | Family Service Bureau of Newark | Clinic/Center | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE BUREAU OF NEWARK | 274 S Orange Ave Ste 2, Newark, NJ 07103-2419 |
| Street Address |
379 KEARNY AVE |
| City | KEARNY |
| State | NJ |
| Zip Code | 07032-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730658774 | Family Service Bureau of Newark | Psychiatry & Neurology | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| 1205305166 | Family Service Bureau of Newark | Clinic/Center | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| 1316279086 | Roxanna Prieto | Counselor | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192445 | Wise Hearing New Jersey LLC | Hearing Instrument Specialist | 179 Kearney Ave, Kearny, NJ 07032 | 2018-11-05 |
| 1497232847 | Amira Haany Elgindy | Physician Assistant | Premier Care Associates, 512 Kearny Avenue, Suite B, Kearny, NJ 07032 | 2018-07-27 |
| 1427577097 | Insight Behavioral Services | Home Health | 78 John Miller Way, Suite 314, Kearny, NJ 07032 | 2017-09-14 |
| 1366985178 | Minerva Refe Brizuela | Nurse Practitioner | 30-35 So. Hackensack Avenue, Hudson County Correctional, Kearny, NJ 07032 | 2016-11-28 |
| 1356710396 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 465 Kearny Ave, Kearny, NJ 07032 | 2015-09-21 |
| 1083016489 | Center for Remote Medical Management LLC | Clinic/Center | 856 Kearny Ave Ste 2, Kearny, NJ 07032 | 2014-09-17 |
| 1467750836 | Anita Hillary | Pharmacist | 248 Kearny Avenue, Kearny, NJ 07032 | 2011-03-08 |
| 1770818486 | Twyla N Rentas | Nurse Practitioner | 30 Hackensack Ave., Kearny, NJ 07032 | 2009-10-14 |
| 1326293291 | Kearny Health Dept | Public Health or Welfare | 645 Kearny Avenue, Kearny Health Dept, Kearny, NJ 07032 | 2008-11-19 |
| 1669622015 | Emad Jacob | Internal Medicine | 715 Kearney Ave, Kearney, NJ 07032 | 2008-09-23 |
| Find all providers in zip 07032 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831305598 | Inter County Council On Drug and Alcohol Abuse | Clinic/Center | 480 Kearny Ave, Kearny, NJ 07032-2736 | 2007-05-16 |
| 1154888469 | Advanced Health and Education LLC | Clinic/Center | 206 Bergen Ave, Kearny, NJ 07032-3384 | 2019-02-22 |
| 1093018343 | Pinnacle Treatment Centers Nj-v | Clinic/Center | 206 Bergen Ave, Kearny, NJ 07032-3384 | 2010-12-08 |
| 1215101381 | Endeavor House North | Clinic/Center | 206 Bergen Ave, Kearny, NJ 07032-3384 | 2008-04-18 |
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|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1710504881 | Vimax LLC | Clinic/Center | 6 Cornwall Ct, East Brunswick, NJ 08816-3347 | 2020-07-06 |
| 1588289615 | Camden County Suboxone LLC | Clinic/Center | 8 Somerdale Sq, Somerdale, NJ 08083-1345 | 2020-06-15 |
| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
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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.