SERV CENTERS OF NEW JERSEY, INC (NPI# 1356454615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356454615 |
| Entity Type | Organization |
| Organization Name | SERV CENTERS OF NEW JERSEY, INC |
| Other Organization Name | CLIFTON FAMILY OUTPATIENT CLINIC |
| Practice Address |
777 Bloomfield Ave Ste B Suite B Clifton NJ 07012-1242 |
| Mailing Address |
20 Scotch Rd Ewing NJ 08628-2503 |
| Practice Telephone | 9735940125 |
| Mailing Telephone | 6094060100 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | MR. JAMES J ROSE (CFO) |
| Authorized Official Telephone | 6094060100 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
500049704 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 00144001 | 05 |
| Other Name | Type Code |
|---|---|
| Clifton Family Outpatient Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902944853 | Serv Centers of New Jersey, Inc | Community Based Residential Treatment Facility, Mental Illness | 532 W State St, Trenton, NJ 08618-5627 | 2007-02-02 |
| 1194886705 | Serv Centers of New Jersey, Inc | Counselor | 111 North Avenue West, Cranford, NJ 07016 | 2006-12-13 |
| 1629130729 | Serv Centers of New Jersey, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 111 North Avenue West, Cranford, NJ 07016 | 2006-12-14 |
| 1942362041 | Serv Centers of New Jersey, Inc | Community/Behavioral Health | 777 Bloomfield Ave, Suite B, Clifton, NJ 07012 | 2006-12-14 |
| 1144381708 | Serv Centers of New Jersey, Inc | Counselor | 380 Scotch Rd, West Trenton, NJ 08628-1301 | 2006-12-13 |
| 1588725162 | Serv Centers of New Jersey, Inc | Community/Behavioral Health | 380 Scotch Rd, Ewing, NJ 08628-1301 | 2006-12-13 |
| Street Address |
777 BLOOMFIELD AVE STE B SUITE B |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
| 1437769775 | Joy Mental Fitness LLC | Clinic/Center | 377 Valley Rd # 1070, Clifton, NJ 07013-1319 | 2020-08-02 |
| 1487111605 | Najat Rosario, Lcsw, LLC | Clinic/Center | 1111 Clifton Ave Ste 202, Clifton, NJ 07013-3633 | 2019-02-24 |
| 1235568098 | Medallion Behavioral Health LLC | Clinic/Center | 470 Colfax Ave, Clifton, NJ 07013-1624 | 2013-11-02 |
| 1407060353 | Counseling Centers Inc | Clinic/Center | 642 Broad St, Ste #3, Clifton, NJ 07013 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589017 | Healthcareserv Inc | Clinic/Center | 200 Middlesex Tpke Ste 102, Iselin, NJ 08830-2033 | 2020-08-18 |
| 1083225957 | Hopeful Hearts Therapy LLC | Clinic/Center | 100 Horizon Drive, 1st and 2nd Floors, Hamilton, NJ 08691 | 2020-08-13 |
| 1326656182 | The Calming Place | Clinic/Center | 30 Pelham Rd, Marlton, NJ 08053-2423 | 2020-07-17 |
| 1043828809 | Symbol of Hope Counseling, LLC | Clinic/Center | 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 | 2020-07-17 |
| 1013525971 | Jrm Psychological Services LLC | Clinic/Center | 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 | 2020-07-16 |
| 1316565575 | Aspire Therapy Services LLC | Clinic/Center | 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 | 2020-07-13 |
| 1619595915 | Cean Mental Wellness Services LLC | Clinic/Center | 786 King George Rd Ste 2, Fords, NJ 08863-1981 | 2020-07-13 |
| 1982221479 | Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent | Clinic/Center | 371 Lakehurst Rd, Toms River, NJ 08755-7393 | 2020-06-30 |
| 1104440080 | Flora Martins Degeorge | Clinic/Center | Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 | 2020-06-05 |
| 1407478498 | Clear Thoughts Healthcare LLC | Clinic/Center | 2386 Morris Avenue Manhattan Lighting Building, Suite 107-109, Union, NJ 07083-0884 | 2020-05-12 |
| Find all providers with the same taxonomy | ||||
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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.