CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. - NPI 1720512775 - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Teaneck, NJ

Q: What is Center For Family Support, New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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About Center For Family Support, New Jersey, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC. (NPI 1720512775) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Teaneck, New Jersey and active in the NPI registry since April 2017. The organization lists Michael Mazzocco, Assistant Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720512775

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameCENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.

Location Address236 IRVINGTON RDTeaneck, NJ 07666-6302

Mailing Address333 7th Ave Fl 9New York, NY 10001-5827

Phone(201) 862-9557

Fax(201) 862-9520

Organization SubpartNo

Authorized OfficialMichael MazzoccoAssistant Executive Director · (212) 629-7939

Enumeration DateApril 17, 2017

✔ NPI 1720512775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in NJ · GH1120

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

236 IRVINGTON RD, Teaneck, NJ 07666

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Other Identifiers 1

Medicaid0471224NJ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Center For Family Support, New Jersey, Inc.'s NPI number?

The NPI number for Center For Family Support, New Jersey, Inc. is 1720512775. It was assigned to this organization in the NPPES registry on April 17, 2017.

Where is Center For Family Support, New Jersey, Inc. located?

Center For Family Support, New Jersey, Inc. is located at 236 Irvington Rd, Teaneck, NJ 07666. The listed phone number is (201) 862-9557.

What is Center For Family Support, New Jersey, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Center For Family Support, New Jersey, Inc. was last updated on April 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.