FAMILY SERVICE BUREAU OF NEWARK NPI 1396994588

NPI Information

NPI: 1396994588
Provider Name: FAMILY SERVICE BUREAU OF NEWARK
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
379 KEARNY AVE
KEARNY, NJ
ZIP 07032
Phone: (201) 246-8077
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FAMILY SERVICE BUREAU OF NEWARK is a rehabilitation and substance use disorder clinic center in Kearny, NJ. FAMILY SERVICE BUREAU OF NEWARK NPI is 1396994588. The provider is registered as an organization entity type.

The provider's business location address is:

379 KEARNY AVE
KEARNY, NJ
ZIP 07032-601
Phone: (201) 246-8077
Fax: (201) 955-6165

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

The enumeration date for this NPI number is 9/12/2008 and was last updated on 10/11/2018.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	2000025-04	NEW JERSEY	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	0597911	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: 5/5/2024

NPI Synchronization or Removal

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