CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI# 1710411772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710411772 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. |
| Practice Address |
11 Sabo Ct Elmwood Park NJ 07407-2730 |
| Mailing Address |
333 7th Ave Fl 9 New York NY 10001-5827 |
| Practice Telephone | 2017918074 |
| Practice Fax Number | 2017916039 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |
| 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 | GH665 | 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 |
| 1710411632 | Center for Family Support, New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135 Texas Rd, Old Bridge, NJ 08857-3904 | 2017-04-18 |
| 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 |
11 SABO CT |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| 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 |
|---|---|---|---|---|
| 1518476308 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 67 Echo Pl, Elmwood Park, NJ 07407-2401 | 2017-09-25 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1619402252 | Jewishassociation for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13 Spruce St, Elmwood Park, NJ 07407-2703 | 2017-04-20 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1811366255 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 25 Linwood Ave, Elmwood Park, NJ 07407-1738 | 2015-09-16 |
| 1871975375 | Spectrum for Living Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18 17th Ave, Elmwood Park, NJ 07407-2927 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871559 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Mamie Ct, Brick, NJ 08723-6438 | 2020-11-06 |
| 1316548167 | The Arc of Cape May County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 E Woodland Ave, Cape May Court House, NJ 08210-3815 | 2020-11-06 |
| 1730789447 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 209 Loganberry Ln, Freehold, NJ 07728-4045 | 2020-10-30 |
| 1881294858 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 Echohill Ln, Willingboro, NJ 08046-2205 | 2020-10-29 |
| 1093314759 | Fordham-lewis Consulting, L.L.C. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 94 Ramapo Valley Rd, Mahwah, NJ 07430-1161 | 2020-10-22 |
| 1487252177 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir Apt 2, Teaneck, NJ 07666-5230 | 2020-10-14 |
| 1215535422 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Griggstown Rd, Belle Mead, NJ 08502-5204 | 2020-10-12 |
| 1003413311 | Excelsior Services Group LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Main Ave, Wood Ridge, NJ 07075-2055 | 2020-10-08 |
| 1659988178 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Heather Ln, Belle Mead, NJ 08502-5125 | 2020-09-29 |
| 1598372021 | Community Options, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 838 Long Road, Gillete, NJ 07933-0854 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
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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.