CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI# 1720512775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720512775 |
| Entity Type | Organization |
| Organization Name | CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. |
| Practice Address |
236 Irvington Rd Teaneck NJ 07666-6302 |
| Mailing Address |
333 7th Ave Fl 9 New York NY 10001-5827 |
| Practice Telephone | 2018629557 |
| Practice Fax Number | 2018629520 |
| 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 | GH1120 | 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 |
| 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 |
| Street Address |
236 IRVINGTON RD |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1558983155 | Women's League Community Residences, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 265 Cedar Ln Fl 2, Teaneck, NJ 07666-3444 | 2020-05-18 |
| 1649734021 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1495 E Terrace Cir Apt 2, Teaneck, NJ 07666-5224 | 2019-01-30 |
| 1992217798 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Ayers Ct Apt 1a, Teaneck, NJ 07666-5129 | 2017-11-02 |
| 1871002873 | The Arc of Bergen and Passaic Counties, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 231 Hillside Ave, Teaneck, NJ 07666-4010 | 2017-09-22 |
| 1518492792 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Ayers Ct Apt 1a, Teaneck, NJ 07666-5133 | 2017-04-26 |
| 1225563588 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Ayers Ct, Apt 1b, Teaneck, NJ 07666-5145 | 2017-04-25 |
| 1457886004 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1390 Hill St, Apt 1b, Teaneck, NJ 07666-5123 | 2017-04-20 |
| 1134653736 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 134 Pinewood Pl, Teaneck, NJ 07666-4921 | 2017-04-20 |
| 1205361870 | Jewish Association for Developmental Disabilities | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1476 W Terrace Cir, Apt 2, Teaneck, NJ 07666-5230 | 2017-04-20 |
| Find all providers in TEANECK | ||||
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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.