C-LINE COMMUNITY OUTREACH SERVICES (NPI# 1336431675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336431675 |
| Entity Type | Organization |
| Organization Name | C-LINE COMMUNITY OUTREACH SERVICES |
| Practice Address |
110 Martin Luther King Jr Dr Jersey City NJ 07305-3168 |
| Mailing Address |
Po Box 15802 Jersey City NJ 07305-0802 |
| Practice Telephone | 2012001965 |
| Practice Fax Number | 2012001826 |
| Mailing Telephone | 2012001965 |
| Mailing Fax Number | 2012001826 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | MS. CAROLINE NELSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2012001965 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00116800 | NJ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
44SC05375200 | NJ | Behavioral Health & Social Service Providers |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
2000071 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0352233 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146498 | C-line Community Outreach Services | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2019-07-23 |
| Street Address |
110 MARTIN LUTHER KING JR DR |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-3168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871146498 | C-line Community Outreach Services | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2019-07-23 |
| 1013343946 | Caroline Nelson | Counselor | 110 Martin Luther King Jr Dr, Jersey City, NJ 07305-3168 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1003384827 | Monarch Medical Professionals LLC | Clinic/Center | 701 Route 440 Ste 33, Jersey City, NJ 07304-1069 | 2018-11-09 |
| 1033624440 | Comprehensive Medical Associates of New Jersery P C | Clinic/Center | 30 Hudson St Fl 30, Jersey City, NJ 07302-4600 | 2017-12-07 |
| 1720382203 | Global Therapy L.l.c | Clinic/Center | 28 Lyon Ct, Jersey City, NJ 07305-5510 | 2010-12-27 |
| 1740467273 | Therapro-corf, LLC | Clinic/Center | 600 Pavonia Ave, 7th Floor, Jersey City, NJ 07306-2929 | 2008-01-28 |
| 1396844429 | Pavonia Surgery Center Inc | Clinic/Center | 600 Pavonia Ave, 4th Floor, Jersey City, NJ 07306 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548880941 | Pjo Health Services LLC | Clinic/Center | 532 Marlton Pike W Ste 380, Marlton, NJ 08053-2075 | 2020-04-26 |
| 1265063846 | Call To Care LLC | Clinic/Center | 523 Park Ave, Orange, NJ 07050-1703 | 2020-01-31 |
| 1679112981 | Passion Care Center of Monmouth | Clinic/Center | 42 Markwood Dr, Howell, NJ 07731-2349 | 2020-01-03 |
| 1063057024 | Hackensack Meridian Nutrition | Clinic/Center | 27 S Cooks Bridge Rd Ste 1-03, Jackson, NJ 08527-2460 | 2019-11-14 |
| 1053960211 | Dua Medical Nj, P.C. | Clinic/Center | 162 Elmora Avenue, Suite 304, Elizabeth, NJ 07202-1148 | 2019-09-10 |
| 1407409360 | Mordecai & Caravello Wellness, LLC | Clinic/Center | 1401 Marlton Pike E Ste 14, Cherry Hill, NJ 08034-2207 | 2019-07-19 |
| 1275097255 | Health Check of Nj LLC | Clinic/Center | 160 Lanza Ave Ste 8, Garfield, NJ 07026-3551 | 2019-01-24 |
| 1164996591 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 1000 Harbor Blvd, Weehawken, NJ 07086-6761 | 2019-01-18 |
| 1578036968 | Acupuncture Eden & Wellness Center | Clinic/Center | 221 Sherman Ave Ste A, Berkeley Heights, NJ 07922-1173 | 2019-01-08 |
| 1700355880 | New Jersey Health Performance Institute | Clinic/Center | 21 Fells Dr, Manalapan, NJ 07726-4153 | 2018-11-18 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
Please comment or provide details below to improve the information on C-LINE COMMUNITY OUTREACH SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.