JEFFERSON PARK MINISTRIES, INC (NPI# 1679000921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679000921 |
| Entity Type | Organization |
| Organization Name | JEFFERSON PARK MINISTRIES, INC |
| Practice Address |
70 West Grand St Elizabeth NJ 07202 |
| Practice Telephone | 9084699508 |
| Practice Fax Number | 9084699509 |
| Mailing Telephone | 9084699508 |
| Mailing Fax Number | 9084699509 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2017-05-17 |
| Authorized Official Name | WOODY K PHILIPPE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9084699508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 347E00000X | Transportation Broker | Transportation Services | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
70 WEST GRAND ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| 1497050694 | Gauri Pharmacy Inc | Pharmacy | 605-607 S Broad St., Unit A, Elizabeth, NJ 07202 | 2011-01-19 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700319845 | Sovereignty Support Services LLC | Case Management | 70 W Grand St, Elizabeth, NJ 07202-1988 | 2017-04-05 |
| 1750507240 | County of Union, Dept. of Human Services, Division On Aging | Case Management | 10 Elizabethtown Plz, Elizabeth, NJ 07202-3451 | 2007-04-17 |
| 1699899351 | Bridgeway Rehabilitation Services | Case Management | 70 West Grand Street, Elizabeth, NJ 07202-1205 | 2007-03-19 |
| 1679180137 | Community Reunion LLC | Case Management | 263 Keats Ave, Elizabeth, NJ 07208-1059 | 2020-09-29 |
| 1235671736 | Community Access Institute | Case Management | 80 W Grand St, Elizabeth, NJ 07202-1471 | 2016-11-15 |
| 1770943193 | Community Access Unlimited | Case Management | 80 W Grand St, Elizabeth, NJ 07202-1471 | 2016-02-26 |
| 1629437728 | Bridgeway Rehabilitation Services | Case Management | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2016-02-17 |
| 1265891360 | Bridgeway Rehabilitation Services | Case Management | 615 N Broad St, Elizabeth, NJ 07208-3409 | 2016-02-17 |
| 1811300304 | Community Access Unlimited | Case Management | 80 W Grand St, Elizabeth, NJ 07202-1471 | 2014-06-03 |
| 1215257878 | Family Medical Group, PC | Case Management | 700 N Broad St, Elizabeth, NJ 07208-2310 | 2010-06-07 |
| Find all providers in ELIZABETH | ||||
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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.