NEW DIRECTIONS SUBSTANCE ABUSE NPI 1023146586

Community/Behavioral Health in Newark, NJ

About NEW DIRECTIONS SUBSTANCE ABUSE

New Directions Substance Abuse is a provider in Newark, NJ. The NPI number assigned to this provider is 1023146586. The practitioner's primary taxonomy code is Community/Behavioral Health (251S00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI

1023146586

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameNEW DIRECTIONS SUBSTANCE ABUSE
Provider Location Address9 LINCOLN PARK NEWARK, NJ 07102 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address9 LINCOLN PARK NEWARK, NJ 07102 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-17-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code251S00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCommunity/Behavioral Health
TypeAgencies
License No.23255
License StateNJ
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

NEW DIRECTIONS SUBSTANCE ABUSE
9 LINCOLN PARK
NEWARK, NJ
ZIP 07102
Phone: (973) 242-6599
Fax: (973) 242-2118

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Mailing Address

NEW DIRECTIONS SUBSTANCE ABUSE
9 LINCOLN PARK
NEWARK, NJ
ZIP 07102
Phone: (973) 242-6599
Fax: (973) 242-2118

Authorized Official

Authorized Official NameMR. ROY HARGROVE JR Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(973) 242-6599

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0019194MEDICAID (05)NJ

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205040169NEW DIRECTIONS BEHAVIORAL HEALTH CENTER
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)9 LINCOLN PARK
NEWARK, NJ 07102
(973) 242-6599
1457419202 ULYSSES VILLEZA AGPAOA MD
Individual
Internal Medicine9 LINCOLN PARK
NEWARK, NJ 07102
(973) 375-4634
1457488066NEW DIRECTIONS BEHAVORIAL HEALTH CENTER
Organization
Community/Behavioral Health9 LINCOLN PARK
NEWARK, NJ 07102
(973) 242-6599
1740415249MEDICAL SERVICES PA
Organization
General Practice9 LINCOLN PARK
NEWARK, NJ 07102
(973) 242-6599
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1023146578
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