FAMILY SERVICE BUREAU OF NEWARK (NPI# 1376012310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376012310 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE BUREAU OF NEWARK |
| Practice Address |
274 S Orange Ave Newark NJ 07103-2419 |
| Practice Telephone | 9734122056 |
| Practice Fax Number | 9734843452 |
| Mailing Telephone | 9734122056 |
| Mailing Fax Number | 9734843452 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | CHISHU CHOU (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9734122056 |
| Authorized Official Credential | LPC, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7705603 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346535663 | Family Service Bureau of Newark | Community/Behavioral Health | 274 South Orange Avenue, Newark, NJ 07103 | 2011-06-15 |
| 1396994588 | Family Service Bureau of Newark | Clinic/Center | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2008-09-12 |
| 1376673814 | Family Service Bureau of Newark | Community/Behavioral Health | 274 S Orange Ave, 2nd Floor, Newark, NJ 07103-2419 | 2007-03-06 |
| 1730658774 | Family Service Bureau of Newark | Psychiatry & Neurology | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| 1205305166 | Family Service Bureau of Newark | Clinic/Center | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAMILY SERVICE BUREAU OF NEWARK | 274 S Orange Ave Ste 2, Newark, NJ 07103-2419 |
| Street Address |
274 S ORANGE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376673814 | Family Service Bureau of Newark | Community/Behavioral Health | 274 S Orange Ave, 2nd Floor, Newark, NJ 07103-2419 | 2007-03-06 |
| 1114568805 | Jamie Duffy | Social Worker | 274 S Orange Ave, Newark, NJ 07103-2419 | 2019-10-03 |
| 1336647825 | Richard James Mansfield | Counselor | 274 S Orange Ave, Newark, NJ 07103-2419 | 2018-01-30 |
| 1376964585 | Marc H Garson | Social Worker | 274 S Orange Ave, Newark, NJ 07103-2419 | 2013-12-16 |
| 1447521059 | Monique Owe | Social Worker | 274 S Orange Ave, 2nd Floor, Newark, NJ 07103-2419 | 2012-01-13 |
| 1235425968 | Bernice Order-connors | Social Worker | 274 S Orange Ave, Newark, NJ 07103-2419 | 2011-06-21 |
| 1700171006 | Arti Kakkar | Marriage & Family Therapist | 274 S Orange Ave, Newark, NJ 07103-2419 | 2011-06-14 |
| 1083941868 | Visiting Nurse Association of Central Jersey, Inc. | Home Health | 274 S Orange Ave, Newark, NJ 07103-2419 | 2009-11-16 |
| 1255518452 | Linda Combs | Social Worker | 274 S Orange Ave, Newark, NJ 07103-2419 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083224133 | Utopia Lavon Session | Counselor | 54 Cheswold Blvd Apt 310, Newark, DE 19713-4160 | 2020-08-04 |
| 1437634474 | Victoria Lynn Garibaldi | Counselor | 37219 Walnut St, Newark, CA 94560-3418 | 2018-09-26 |
| 1528550514 | Levin Andrew Tucker | Counselor | 1423 Capitol Trail Polly Drummond Plaza Bdg3, Newark, DE 19711 | 2018-06-05 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1124515606 | Elizabeth Caccavone | Counselor | 1423 Capitol Trail Rd, Newark, DE 19711 | 2018-04-19 |
| 1134631310 | Mary Desantis | Counselor | 3981 Buffalo Rd, Newark, NY 14513-9230 | 2017-10-28 |
| 1164884631 | Khayyam Bey | Counselor | 82 Somerset St, Newark, NJ 07108-2954 | 2016-03-24 |
| 1679939656 | Temitope Shakirat Coates | Counselor | 654 Mount Prospect Ave Ste 201, Newark, NJ 07104-3110 | 2016-01-06 |
| 1144603432 | Kerwin Brisbane | Counselor | 146 Ferry St Ste B, Newark, NJ 07105-2133 | 2015-07-04 |
| 1477942381 | Rosalind Stewart | Counselor | 1423 Capitol Trail, Polly Drummond Plaza, Building 3, Newark, DE 19711-5703 | 2015-01-15 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on FAMILY SERVICE BUREAU OF NEWARK.
| 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.