CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
NPI 1720512783
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Matawan, NJ

NPI Status: Active since April 17, 2017

Contact Information

209 RAVINE DR
MATAWAN, NJ
ZIP 07747
Phone: (732) 583-4680
Fax: (732) 970-6132

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About CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.

This page provides the complete NPI Profile along with additional information for Center For Family Support, New Jersey, Inc., a provider established in Matawan, New Jersey operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1720512783 assigned on April 2017. The practitioner's primary taxonomy code is 320900000X with license number SA716A (NJ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Michael Mazzocco (Asst Executive Director)

NPI
1720512783
Provider Name
CENTER FOR FAMILY SUPPORT, NEW JERSEY, INC.
Entity Type
Organization
Location Address
209 RAVINE DR MATAWAN, NJ 07747
Location Phone
(732) 583-4680
Location Fax
(732) 970-6132
Mailing Address
333 7TH AVE FL 9 NEW YORK, NY 10001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2017
Last Update Date
04-17-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
SA716A
License State
NJ
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL MAZZOCCO

Authorized Official Title
ASST EXECUTIVE DIRECTOR
Authorized Official Phone
(212) 629-7939

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0471224MEDICAID (05)NJ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720512783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27401014716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 1 + 4 + 7 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1720512783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720512783, enumerated as an "organization" on April 17, 2017.

The provider is located at 209 RAVINE DR MATAWAN, NJ 07747 and the phone number is (732) 583-4680.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.