Bethel Family & Youth Resource Center
Preferred Provider Organization in Newark, New Jersey
1629216643- Practice location
- 65 Pierce St, Newark, NJ 07103-1716
- Phone
- 973-643-6565
- Fax
- 862-763-5071
- Last updated
- January 29, 2009
Bethel Family & Youth Resource Center is a healthcare organization based in Newark, NJ. Bethel Family & Youth Resource Center practices in Newark, NJ. The NPI Number for Bethel Family & Youth Resource Center is 1629216643 and holds a License No. 2000126-08 (NJ). The current practice location address for Bethel Family & Youth Resource Center is 65 Pierce St, Newark, NJ 07103-1716 and can be reached out via phone at 973-643-6565 and via fax at 862-763-5071.
Provider Profile Details
- NPI Number
- 1629216643
- Provider Name
- Bethel Family & Youth Resource Center
- Provider Entity Type
- Organization
- Address
- 65 Pierce St, Newark, NJ 07103-1716
- Phone Number
- 973-643-6565
- Fax Number
- 862-763-5071
- Primary Taxonomy
- Preferred Provider Organization · 305R00000X
- Organization Subpart
- Yes
- Parent Organization
- Bethel Counseling Services
- Authorized Official
- Dr. Marian Osborne, LCADC · Clinical Director · 973-643-6565
- Other Names
- Bethel Counseling Services (Doing Business As)
- Provider Enumeration Date
- January 29, 2009
- Last Update Date
- January 29, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Pierce St
Newark, NJ 07103-1716 - City
- Newark
- State
- New Jersey
- Zip
- 07103-1716
- Phone Number
- 973-643-6565
- Fax Number
- 862-763-5071
Provider Business Mailing Address Details
- Address
- 65 Pierce St
Newark, NJ 07103-1716 - City
- Newark
- State
- NJ
- Zip
- 07103-1716
- Phone Number
- 973-643-6565
- Fax Number
- 862-763-5071
License Information
- License Number
- 2000126-08
- License State
- NJ
- Taxonomy
- Preferred Provider Organization · 305R00000X · 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 Bethel Family & Youth Resource Center?
The NPI number of Bethel Family & Youth Resource Center is 1629216643. It was assigned on January 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Bethel Family & Youth Resource Center?
Bethel Family & Youth Resource Center is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in NJ under license number 2000126-08.
Where does Bethel Family & Youth Resource Center practice?
The practice location is 65 Pierce St, Newark, NJ 07103-1716. The office can be reached at 973-643-6565 (phone) or 862-763-5071 (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 1629216643 directly on the NPPES registry website.