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BETHEL FAMILY & YOUTH RESOURCE CENTER NPI 1629216643


NPI Information

NPI: 1629216643
Provider Name: BETHEL FAMILY & YOUTH RESOURCE CENTER

Doing Business As: BETHEL COUNSELING SERVICES

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 31D2178415

Address:
65 PIERCE ST
NEWARK, NJ
ZIP 07103
Phone: (973) 643-6565
Get Directions

BETHEL FAMILY & YOUTH RESOURCE CENTER is a preferred provider organization in Newark, NJ. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. BETHEL FAMILY & YOUTH RESOURCE CENTER NPI is 1629216643. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethel Counseling Services.

The provider's business location address is:

65 PIERCE ST
NEWARK, NJ
ZIP 07103-716
Phone: (973) 643-6565
Fax: (862) 763-5071

The provider's authorized official is Marian Osborne .
The authorized official title is Clinical Director and has the following contact phone number (973) 643-6565.

The CLIA number assigned to this NPI record is 31D2178415 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2009 and was last updated on 1/29/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization2000126-08NEW JERSEYYes

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: 11/14/2023

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