CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI# 1336673391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336673391 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. |
| Practice Address |
28 Twain Pl Clifton NJ 07013-1830 |
| Mailing Address |
333 7th Ave Fl 9 New York NY 10001-5827 |
| Practice Telephone | 9734734196 |
| Practice Fax Number | 9734731428 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| Authorized Official Name | MICHAEL MAZZOCCO (ASST EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2126297939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GH995 | NJ | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0471224 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801320429 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 291 Nathan Ct, Cliffwood, NJ 07721-1174 | 2017-04-20 |
| 1265966840 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2246 Balmoral Ave, Union, NJ 07083-5204 | 2017-04-20 |
| 1710411632 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 Texas Rd, Old Bridge, NJ 08857-3904 | 2017-04-18 |
| 1710411772 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Sabo Ct, Elmwood Park, NJ 07407-2730 | 2017-04-17 |
| 1750815783 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Carol Ln, Clifton, NJ 07012-2309 | 2017-04-17 |
| 1588198543 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Wilson Rd, Somerset, NJ 08873-2776 | 2017-04-17 |
| 1720512783 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Ravine Dr, Matawan, NJ 07747-2847 | 2017-04-17 |
| 1861926826 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Union Ave, Somerville, NJ 08876-2621 | 2017-04-17 |
| 1578097515 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Cottage Pl, Morristown, NJ 07960-3116 | 2017-04-17 |
| 1851825806 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 474 Myrtle St, Cliffwood, NJ 07721-1218 | 2017-04-17 |
| Street Address |
28 TWAIN PL |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982245858 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 215, Clifton, NJ 07013-4313 | 2019-10-02 |
| 1538647870 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 410, Clifton, NJ 07013-4315 | 2018-07-30 |
| 1407368319 | Community Options Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 Arthur St, Clifton, NJ 07011-1414 | 2017-11-01 |
| 1306357348 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 80 Village Rd, Clifton, NJ 07013-3436 | 2017-10-17 |
| 1821507559 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 124, Clifton, NJ 07013-4312 | 2017-09-26 |
| 1780193508 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 208, Clifton, NJ 07013-4313 | 2017-09-25 |
| 1598274318 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 218, Clifton, NJ 07013-4313 | 2017-09-25 |
| 1205345022 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 219, Clifton, NJ 07013-4313 | 2017-09-25 |
| 1013426832 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 220, Clifton, NJ 07013-4313 | 2017-09-25 |
| 1275042095 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 224, Clifton, NJ 07013-4313 | 2017-09-25 |
| Find all providers in CLIFTON | ||||
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| 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.