CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI# 1710411632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411632 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. |
| Practice Address |
135 Texas Rd Old Bridge NJ 08857-3904 |
| Mailing Address |
333 7th Ave Fl 9 New York NY 10001-5827 |
| Practice Telephone | 7329676610 |
| Practice Fax Number | 7329676611 |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |
| Authorized Official Name | MICHAEL MAZZOCCO (ASSISTANT 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 | GH2155 | 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 |
| 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 |
| 1336673391 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Twain Pl, Clifton, NJ 07013-1830 | 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 |
135 TEXAS RD |
| City | OLD BRIDGE |
| State | NJ |
| Zip Code | 08857-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
| 1962910703 | John Hubert Jaeger | Chiropractor | 3883 Route 516, Old Bridge, NJ 08857 | 2018-01-15 |
| 1770097347 | Cindy Zhang | Nurse Practitioner | 3 Hospital Plz Ste 208, Old Bridge, NJ 08857 | 2017-11-18 |
| 1639688542 | Courtney M Demaio | Social Worker | 20 Bertrand St., Old Bridge, NJ 08857 | 2017-09-22 |
| 1861921983 | Erica Marriaga | Social Worker | 9c Spruce Lane, Apartment C, Old Bridge, NJ 08857 | 2017-06-12 |
| 1730615493 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Matchaponix Rd, Old Bridge, NJ 08857 | 2017-05-02 |
| 1033581715 | Akriti Sharma | Physical Therapist | 14 Woodward Drive, Old Bridge, NJ 08857 | 2015-10-21 |
| 1376925990 | Central Old Bridge Emergency Medical Service Inc | Ambulance | 133 Ticetown Road, Old Bridge, NJ 08857 | 2015-06-19 |
| 1609283779 | Stephanie Detone | Audiologist | 3663 Route 9 North, Old Bridge, NJ 08857 | 2014-07-21 |
| 1326461963 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2825 Hwy Route 18, Old Bridge, NJ 08857 | 2014-02-03 |
| Find all providers in zip 08857 | ||||
| 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 |
|---|---|---|---|---|
| 1881173599 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 N Apt 301, Old Bridge, NJ 08857-3783 | 2018-08-13 |
| 1205327350 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 N Apt 302, Old Bridge, NJ 08857-3783 | 2018-05-24 |
| 1629582416 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 Apt 106, Old Bridge, NJ 08857-3779 | 2017-12-01 |
| 1750895157 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18, Old Bridge, NJ 08857-3779 | 2017-11-21 |
| 1801300371 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 Apt 103, Old Bridge, NJ 08857-3779 | 2017-11-20 |
| 1245757061 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 Apt 203, Old Bridge, NJ 08857-3781 | 2017-08-23 |
| 1730615493 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 401 Matchaponix Rd, Old Bridge, NJ 08857 | 2017-05-02 |
| 1548795313 | New Jersey Institute for Disabilities, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Browning Ter Bldg 9, Old Bridge, NJ 08857-4221 | 2017-04-28 |
| 1164803086 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 Apt 101, Old Bridge, NJ 08857-3779 | 2015-06-16 |
| 1336520253 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1998 Route 18 Apt 102, Old Bridge, NJ 08857-3779 | 2015-06-16 |
| Find all providers in OLD BRIDGE | ||||
| City | OLD BRIDGE |
| Zip Code | 08857 |
Please comment or provide details below to improve the information on CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC..
| 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.