FAMILY SERVICE BUREAU OF NEWARK NPI 1376012310

NPI Information

NPI: 1376012310
Provider Name: FAMILY SERVICE BUREAU OF NEWARK
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
274 S ORANGE AVE
NEWARK, NJ
ZIP 07103
Phone: (973) 412-2056
Get Directions

FAMILY SERVICE BUREAU OF NEWARK is an addiction (substance use disorder) counselor in Newark, NJ. FAMILY SERVICE BUREAU OF NEWARK NPI is 1376012310. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

274 S ORANGE AVE
NEWARK, NJ
ZIP 07103-419
Phone: (973) 412-2056
Fax: (973) 484-3452

The provider's authorized official is Chishu Chou .
The authorized official title is Director Of Operations and has the following contact phone number (973) 412-2056.

The enumeration date for this NPI number is 11/20/2018 and was last updated on 11/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7705603	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »