PILGRIMAGE OUTREACH,INC. ( FBHSP )


Address: 449 Union Ave, Paterson, NJ 07522-1937
Phone: 9733892165

PILGRIMAGE OUTREACH,INC. ( FBHSP ) (NPI# 1982813531) 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) 1982813531
Entity Type Organization
Organization Name PILGRIMAGE OUTREACH,INC. ( FBHSP )
Other Organization Name PILGRIMAGE OUTREACH,INC. ( FBHSP )
Practice Address 449 Union Ave
Paterson
NJ 07522-1937
Practice Telephone 9733892165
Practice Fax Number 9733892895
Mailing Telephone 9733892165
Mailing Fax Number 9733892895
Enumeration Date 2007-05-21
Last Update Date 2020-08-22
Authorized Official Name DR. JOSEPH THOMAS ROBINSON JR. (C.E.O.SENIOR COUNSELOR)
Authorized Official Telephone 9738515886
Authorized Official Credential NATIONAL PLC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
NJ Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Pilgrimage Outreach,Inc. ( FBHSP ) Other Name - Individual/Organization

Office Location

Street Address 449 UNION AVE
City PATERSON
State NJ
Zip Code 07522-1937

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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

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Competitor

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City PATERSON
Zip Code 07522

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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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