KWENYAN PROFESSIONAL HEALTH SERVICES, LLC


Address: 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106
Phone: 9736726901

KWENYAN PROFESSIONAL HEALTH SERVICES, LLC (NPI# 1457671372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457671372
Entity Type Organization
Organization Name KWENYAN PROFESSIONAL HEALTH SERVICES, LLC
Practice Address 60 Evergreen Pl
Suite 500
East Orange
NJ 07018-2106
Practice Telephone 9736726901
Practice Fax Number 8663768262
Mailing Telephone 9736726901
Mailing Fax Number 8663768262
Enumeration Date 2010-06-02
Last Update Date 2011-06-02
Authorized Official Name MR. DANIEL CASSELL (PRESIDENT/CEO)
Authorized Official Telephone 9736726900
Authorized Official Credential MA, MPH, LPC, LC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
2000479-10 NJ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0226220 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609335736 Kwenyan Professional Health Services, LLC Counselor 200 South St, New Providence, NJ 07974-2151 2019-03-18
1003392374 Kwenyan Professional Health Services, LLC Clinic/Center 291 Pickford Ave, Phillipsburg, NJ 08865-1626 2018-07-19
1205312766 Kwenyan Professional Health Services, LLC Counselor 291 Pickford Ave, Phillipsburg, NJ 08865-1626 2018-07-17
1285928457 Kwenyan Professional Health Services, LLC Clinic/Center 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 2011-06-06
1326368267 Kwenyan Professional Health Services, LLC Clinic/Center 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 2010-06-02
1629221239 Kwenyan Professional Health Services, LLC Psychologist 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 2008-10-28

Office Location

Street Address 60 EVERGREEN PL
SUITE 500
City EAST ORANGE
State NJ
Zip Code 07018-2106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861442535 Pharmacy of America Pharmacy 60 Evergreen Pl, East Orange, NJ 07018-2106 2006-05-11
1952840415 Divine Healthcare Services Home Health 60 Evergreen Pl, Suite 501, East Orange, NJ 07018-9992 2017-02-16
1376813493 Sherree Lynn Pecci Social Worker 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 2012-01-05
1285928457 Kwenyan Professional Health Services, LLC Clinic/Center 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 2011-06-06
1245535699 Julia Del Carmen Aleman Social Worker 60 Evergreen Pl, East Orange, NJ 07018-2106 2011-01-17
1326342189 Margaret Holanov Social Worker 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 2011-01-07
1790088524 Michelle D Anderson Social Worker 60 Evergreen Pl, Suite 903, East Orange, NJ 07018-2106 2010-12-16
1326368267 Kwenyan Professional Health Services, LLC Clinic/Center 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 2010-06-02
1255663407 Youth Consultation Service Inc Community/Behavioral Health 60 Evergreen Pl, East Orange, NJ 07018-2106 2010-02-12
1356673206 Youth Consultation Service Inc Community/Behavioral Health 60 Evergreen Pl, East Orange, NJ 07018-2106 2010-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265902373 New Vision Therapeutic Counseling Services Counselor 137 Evergreen Place Suite 3a, East Orange, NJ 07018 2018-12-01
1528535465 Chioma Eunice Agbo Nurse Practitioner 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 2018-10-29
1023596020 Claremont Medical & Rehab Home Care Inc Home Health 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 2018-08-01
1205314507 Jaleesa Myers Social Worker 320 S Harrison St Apt 20a, East Orange, NJ 07018 2018-07-30
1609353390 Simone Joyce Hairston Dietitian, Registered Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 2018-07-25
1184101024 Tejumade Veronica Falae Registered Nurse 6o Evergreen Place, Suite 307, East Orange, NJ 07018 2018-07-24
1659882082 Bmg East Orange LLC Internal Medicine 200 Freeway Dr E Ste 305, East Orange, NJ 07018 2017-10-12
1548618341 Golden Years Day Care Inc. Clinic/Center 50 South Munn Ave, East Orange, NJ 07018 2016-06-02
1669833703 Ashley Ciccarelli Social Worker 86 South Harrison Street, East Orange, NJ 07018 2016-03-17
1861866469 Antoinette Parks Case Manager/Care Coordinator 86 South Harrison St, East Orange, NJ 07018 2015-11-19
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1487253779 Integrity, Inc Clinic/Center 1091-1093 Broad Street, Newark, NJ 07102 2020-10-19
1437764354 Phoenix Behavioral Health LLC Clinic/Center 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 2020-09-09
1710504881 Vimax LLC Clinic/Center 6 Cornwall Ct, East Brunswick, NJ 08816-3347 2020-07-06
1588289615 Camden County Suboxone LLC Clinic/Center 8 Somerdale Sq, Somerdale, NJ 08083-1345 2020-06-15
1558905380 Grace Community Development Center Clinic/Center 100 Melville Ln, Willingboro, NJ 08046-2912 2019-11-05
1740822121 The Empowerment House, Non Profit Inc. Clinic/Center 1314 S Clinton Ave, Trenton, NJ 08611-1436 2019-10-17
1265088892 Absolute Awakenings Treatment Center LLC Clinic/Center 3000 Route 10 West, Denville, NJ 07834 2019-08-09
1326607243 Recovery Zone Solutions, LLC Clinic/Center 124 East Main Street, Ste#109, Denville, NJ 07834 2019-06-13
1720644800 Ars Treatment Centers of New Jersey, PC Clinic/Center 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 2019-05-14
1184182230 Turning Point, Inc. Clinic/Center 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 2019-03-07
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Competitor

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City EAST ORANGE
Zip Code 07018

Improve Information

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Dataset Information

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.

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