1063873453 NPI number — OPTIONS COUNSELING, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063873453 NPI number — OPTIONS COUNSELING, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OPTIONS COUNSELING, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063873453
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 CALVIN PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
METUCHEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08840-2450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-549-0401
Provider Business Mailing Address Fax Number:
732-549-4446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 W BROADWAY
Provider Second Line Business Practice Location Address:
3RD FLOOR
Provider Business Practice Location Address City Name:
PATERSON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07505-1014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-345-1883
Provider Business Practice Location Address Fax Number:
973-345-5480
Provider Enumeration Date:
03/11/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CONTE
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
OPERATIONS DIRECTOR
Authorized Official Telephone Number:
973-445-8202

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X , with the licence number:  2000024 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1609036841 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1043350333 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com