Center For Family Support, New Jersey, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Old Bridge, New Jersey
1710411632- Practice location
- 135 Texas RD, Old Bridge, NJ 08857-3904
- Phone
- 732-967-6610
- Fax
- 732-967-6611
- Last updated
- April 18, 2017
Center For Family Support, New Jersey, INC. is a healthcare organization based in Old Bridge, NJ. Center For Family Support, New Jersey, INC. practices in Old Bridge, NJ. The NPI Number for Center For Family Support, New Jersey, INC. is 1710411632 and holds a License No. GH2155 (NJ). The current practice location address for Center For Family Support, New Jersey, INC. is 135 Texas RD, Old Bridge, NJ 08857-3904 and can be reached out via phone at 732-967-6610 and via fax at 732-967-6611.
Provider Profile Details
- NPI Number
- 1710411632
- Provider Name
- Center For Family Support, New Jersey, INC.
- Provider Entity Type
- Organization
- Address
- 135 Texas RD, Old Bridge, NJ 08857-3904
- Phone Number
- 732-967-6610
- Fax Number
- 732-967-6611
- 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 18, 2017
- Last Update Date
- April 18, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 135 Texas RD
Old Bridge, NJ 08857-3904 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-3904
- Phone Number
- 732-967-6610
- Fax Number
- 732-967-6611
Provider Business Mailing Address Details
- Address
- 333 7TH Ave Fl 9
New York, NY 10001-5827 - City
- New York
- State
- NY
- Zip
- 10001-5827
License Information
- License Number
- GH2155
- 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 1710411632. It was assigned on April 18, 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 GH2155.
Where does Center For Family Support, New Jersey, INC. practice?
The practice location is 135 Texas RD, Old Bridge, NJ 08857-3904. The office can be reached at 732-967-6610 (phone) or 732-967-6611 (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 1710411632 directly on the NPPES registry website.