CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.


Address: 222 Union Ave, Somerville, NJ 08876-2621
Phone: 9082529160

CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI# 1861926826) 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) 1861926826
Entity Type Organization
Organization Name CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
Practice Address 222 Union Ave
Somerville
NJ 08876-2621
Mailing Address 333 7th Ave Fl 9
New York
NY 10001-5827
Practice Telephone 9082529160
Practice Fax Number 9082529164
Enumeration Date 2017-04-17
Last Update Date 2017-04-17
Authorized Official Name MICHAEL MAZZOCCO (ASSISTANT EXECUTIVE DIRECTOR)
Authorized Official Telephone 2126297939
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities GH765 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0471224 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801320429 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 291 Nathan Ct, Cliffwood, NJ 07721-1174 2017-04-20
1265966840 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2246 Balmoral Ave, Union, NJ 07083-5204 2017-04-20
1710411632 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 135 Texas Rd, Old Bridge, NJ 08857-3904 2017-04-18
1710411772 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11 Sabo Ct, Elmwood Park, NJ 07407-2730 2017-04-17
1750815783 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 15 Carol Ln, Clifton, NJ 07012-2309 2017-04-17
1336673391 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 28 Twain Pl, Clifton, NJ 07013-1830 2017-04-17
1588198543 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 71 Wilson Rd, Somerset, NJ 08873-2776 2017-04-17
1720512783 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 209 Ravine Dr, Matawan, NJ 07747-2847 2017-04-17
1578097515 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 25 Cottage Pl, Morristown, NJ 07960-3116 2017-04-17
1851825806 Center for Family Support, New Jersey, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 474 Myrtle St, Cliffwood, NJ 07721-1218 2017-04-17

Office Location

Street Address 222 UNION AVE
City SOMERVILLE
State NJ
Zip Code 08876-2621

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1275098840 Ruth Leslie Goldsmith Social Worker 134 W End Ave Fl 2, Somerville, NJ 08876 2019-02-07
1114417524 Dae Kim Student in an Organized Health Care Education/Training Program Somerset Family Practice, 110 Rehill Avenue, Somerville, NJ 08876 2018-05-11
1881195881 Fisayo Tunde Obstetrics & Gynecology 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 2018-02-24
1972026268 Deirdre Mccarthy Physical Therapist 18 Sunset St., Branchburg, NJ 08876 2017-07-19
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1326590548 Physicians Dialysis Somerville, LLC Clinic/Center 1 Route 206, North, Somerville, NJ 08876 2016-11-04
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184189037 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 31 Brookside Ave Apt 2a, Somerville, NJ 08876-5609 2019-02-05
1861972549 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Brookside Ave Apt 2b, Somerville, NJ 08876-5607 2018-08-21
1326528001 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 40 Brookside Ave Apt 11a, Somerville, NJ 08876-5600 2018-08-21
1528575610 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 11 Brookside Ave Apt 6a, Somerville, NJ 08876-5605 2018-01-10
1255848347 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 21 Brookside Ave Apt 6a, Somerville, NJ 08876-5607 2018-01-10
1992212070 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 40 Brookside Ave Apt 1b, Somerville, NJ 08876-5610 2018-01-10
1437666518 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 40 Brookside Ave Apt 7b, Somerville, NJ 08876-5610 2018-01-10
1164939245 Keystone Community Living, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 60 Brookside Ave Apt 9b, Somerville, NJ 08876-5613 2018-01-10
1013444710 Everas Community Services, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 14 Imperial Dr, Somerville, NJ 08876-1718 2017-05-12
1437530458 Allies, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 90 Brookside Ave Apt 7b, Somerville, NJ 08876-5618 2015-06-16
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Competitor

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City SOMERVILLE
Zip Code 08876

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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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