CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.


Address: 15 Carol Ln, Clifton, NJ 07012-2309
Phone: 9734721459

CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI# 1750815783) 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) 1750815783
Entity Type Organization
Organization Name CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
Practice Address 15 Carol Ln
Clifton
NJ 07012-2309
Mailing Address 333 7th Ave Fl 9
New York
NY 10001-5827
Practice Telephone 9734721459
Practice Fax Number 9734722742
Mailing Telephone 2126297939
Mailing Fax Number 2122392211
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities GH721 NJ Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0471224 05

Other Provider IDs and Locations

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
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

Office Location

Street Address 15 CAROL LN
City CLIFTON
State NJ
Zip Code 07012-2309

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528428307 Sofia Konvitz Behavioral Analyst 743 Passaic Ave, Suite 109, Clifton, NJ 07012 2016-03-07
1881065118 Renita Farkas I Registered Nurse 777 Bloomfield Avenue, Clifton, NJ 07012 2015-10-13
1619374402 Lorraine Brenner Dentist 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 2014-11-23
1861897878 Melissa Langewisch General Acute Care Hospital 3 Englewood Road, Clifton, NJ 07012 2014-11-03
1043637192 Fadwa Sumrein Internal Medicine 2 Brighton Rd Ste 400, Clifton, NJ 07012 2014-03-26
1386067841 Rita Mary Grazulis Dentist 91 Nugent Drive, Clifton, NJ 07012 2014-02-03
1366721573 John P Castronova Dentist 79 Ave U, Brooklyn, NJ 07012 2011-08-05
1477849164 Walgreen Co Durable Medical Equipment & Medical Supplies 550 Allwood Rd, Clifton, NJ 07012 2011-06-22
1487805784 Dron Gauchan Internal Medicine 74a Richfield Ct, Clifton, NJ 07012 2008-10-05
1497930283 Coreen Christie Counselor 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 2007-12-31
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Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982245858 Partnerships for People, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 215, Clifton, NJ 07013-4313 2019-10-02
1538647870 Partnerships for People, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 410, Clifton, NJ 07013-4315 2018-07-30
1407368319 Community Options Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 12 Arthur St, Clifton, NJ 07011-1414 2017-11-01
1306357348 Heart To Heart Health Care Services, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 80 Village Rd, Clifton, NJ 07013-3436 2017-10-17
1821507559 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 124, Clifton, NJ 07013-4312 2017-09-26
1780193508 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 208, Clifton, NJ 07013-4313 2017-09-25
1598274318 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 218, Clifton, NJ 07013-4313 2017-09-25
1205345022 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 219, Clifton, NJ 07013-4313 2017-09-25
1013426832 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 220, Clifton, NJ 07013-4313 2017-09-25
1275042095 The Arc of Bergen and Passaic Counties, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 101 Scales Plz Apt 224, Clifton, NJ 07013-4313 2017-09-25
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City CLIFTON
Zip Code 07012

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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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