Center For Family Support, New Jersey, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Port Monmouth, New Jersey
1043744089- Practice location
- 30 Collins Ave, Port Monmouth, NJ 07758-1435
- Phone
- 732-471-8937
- Fax
- 732-471-8957
- Last updated
- April 17, 2017
Center For Family Support, New Jersey, INC. is a healthcare organization based in Port Monmouth, NJ. Center For Family Support, New Jersey, INC. practices in Port Monmouth, NJ. The NPI Number for Center For Family Support, New Jersey, INC. is 1043744089 and holds a License No. GH1139 (NJ). The current practice location address for Center For Family Support, New Jersey, INC. is 30 Collins Ave, Port Monmouth, NJ 07758-1435 and can be reached out via phone at 732-471-8937 and via fax at 732-471-8957.
Provider Profile Details
- NPI Number
- 1043744089
- Provider Name
- Center For Family Support, New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 30 Collins Ave, Port Monmouth, NJ 07758-1435
- Phone Number
- 732-471-8937
- Fax Number
- 732-471-8957
- Primary Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- Organization Subpart
- No
- Authorized Official
- Michael Mazzocco · Assistant Executive Director · 212-629-7939
- Provider Enumeration Date
- April 17, 2017
- Last Update Date
- April 17, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Collins Ave
Port Monmouth, NJ 07758-1435 - City
- Port Monmouth
- State
- New Jersey
- Zip
- 07758-1435
- Phone Number
- 732-471-8937
- Fax Number
- 732-471-8957
Provider Business Mailing Address Details
- Address
- 333 7TH Ave Fl 9
New York, NY 10001-5827 - City
- New York
- State
- NY
- Zip
- 10001-5827
- Phone Number
- 212-629-7939
- Fax Number
- 212-239-2211
License Information
- License Number
- GH1139
- License State
- NJ
- Taxonomy
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Center For Family Support, New Jersey, INC.?
The NPI number of Center For Family Support, New Jersey, INC. is 1043744089. It was assigned on April 17, 2017 and is currently active in the NPPES registry.
What is the specialty of Center For Family Support, New Jersey, INC.?
Center For Family Support, New Jersey, INC. is registered under the primary taxonomy Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (code 320900000X), licensed in NJ under license number GH1139.
Where does Center For Family Support, New Jersey, INC. practice?
The practice location is 30 Collins Ave, Port Monmouth, NJ 07758-1435. The office can be reached at 732-471-8937 (phone) or 732-471-8957 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043744089 directly on the NPPES registry website.