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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 0471224 | 05 |
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 |
Street Address |
222 UNION AVE |
City | SOMERVILLE |
State | NJ |
Zip Code | 08876-2621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730728999 | Christine Paige Robbins | Speech-Language Pathologist | 21 E High St, 2nd Floor, Somerville, NJ 08876 | 2020-01-04 |
1043861339 | County of Somerset | Public Health or Welfare | 27 Warren Street, 3rd Floor, Somerville, NJ 08876 | 2019-09-27 |
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 |
1649719964 | Alternatives, Inc. | Community/Behavioral Health | 85-87 Fairview Ave., Somerville, NJ 08876 | 2017-02-20 |
1083153308 | Jing Acupuncture Service LLC | Acupuncturist | 3322 Us Highway 22, Bldg 8, 805, Branchburg, NJ 08876 | 2017-02-20 |
1326590548 | Physicians Dialysis Somerville, LLC | Clinic/Center | 1 Route 206, North, Somerville, NJ 08876 | 2016-11-04 |
1548501679 | Bilal Mian Md Pa | Psychiatry & Neurology | 310 East Mian St, Somerville, NJ 08876 | 2013-03-14 |
Find all providers in zip 08876 |
Taxonomy Code | 320900000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
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] |
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 |
Find all providers in SOMERVILLE |
City | SOMERVILLE |
Zip Code | 08876 |
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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.