FAMILY SERVICE BUREAU OF NEWARK (NPI# 1376673814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376673814 |
| Entity Type | Organization |
| Organization Name | FAMILY SERVICE BUREAU OF NEWARK |
| Practice Address |
274 S Orange Ave 2nd Floor Newark NJ 07103-2419 |
| Practice Telephone | 9734122056 |
| Practice Fax Number | 9734843452 |
| Mailing Telephone | 9734122056 |
| Mailing Fax Number | 9734843452 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2018-10-11 |
| Authorized Official Name | MR. CHI SHU 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 |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 101050204 | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0021105 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 379 Kearny Ave, Kearny, NJ 070322601 | 2012468077 | 2019556165 |
| 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 |
| 1730658774 | Family Service Bureau of Newark | Psychiatry & Neurology | 379 Kearny Ave, Kearny, NJ 07032-2601 | 2018-11-20 |
| 1376012310 | Family Service Bureau of Newark | Psychiatry & Neurology | 274 S Orange Ave, Newark, NJ 07103-2419 | 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 2ND FLOOR |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568805 | Jamie Duffy | Social Worker | 274 S Orange Ave, Newark, NJ 07103-2419 | 2019-10-03 |
| 1376012310 | Family Service Bureau of Newark | Psychiatry & Neurology | 274 S Orange Ave, Newark, NJ 07103-2419 | 2018-11-20 |
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609493097 | Cognitive Organics LLC | Community/Behavioral Health | 14 N Park Pl, Newark, OH 43055-5517 | 2020-07-01 |
| 1861023889 | Neighbours-inc | Community/Behavioral Health | 286 Muhammad Ali Ave, Newark, NJ 07108-2016 | 2020-01-29 |
| 1538721824 | Robyn Hope Pavlick | Community/Behavioral Health | 183 S Orange Ave # Leveld, Newark, NJ 07103-2757 | 2019-07-08 |
| 1457910515 | Trdiann J Clement | Community/Behavioral Health | 288 Fairmount Ave, Newark, NJ 07103-2334 | 2019-06-11 |
| 1497224638 | Home Care for You, Inc. | Community/Behavioral Health | 1 Bloomfield Ave Ste 2, Newark, NJ 07104-2547 | 2018-11-16 |
| 1982195400 | Amari Behavioral Health | Community/Behavioral Health | 39 Maiden Ln, Newark, NJ 07102-5800 | 2018-05-21 |
| 1063901015 | Walloflions | Community/Behavioral Health | 402 Mount Prospect Ave Apt 11g, Newark, NJ 07104-2152 | 2018-05-04 |
| 1811485543 | Integrity, Inc. | Community/Behavioral Health | 103 Lincoln Park, Newark, NJ 07102-2388 | 2018-04-27 |
| 1023527496 | Youth Advocate Programs, Inc. | Community/Behavioral Health | 45 Academy St Ste 303, Newark, NJ 07102-2900 | 2017-09-28 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| Find all providers in NEWARK | ||||
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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.