1669039491 NPI number — CHILDREN'S AID AND FAMILY SERVICES, INC.

Table of content: (NPI 1669039491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669039491 NPI number — CHILDREN'S AID AND FAMILY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHILDREN'S AID AND FAMILY SERVICES, 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:
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:
1669039491
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 ROBIN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARAMUS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07652-1414
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-261-2800
Provider Business Mailing Address Fax Number:
201-634-3672

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
57 RICKER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RINGWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07456-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-261-2800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/28/2019

Additional Information

Authorized Official

Authorized Official Last Name:
MANDRY
Authorized Official First Name:
JOANNE
Authorized Official Middle Name:
ELIZABETH
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
201-740-7050

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0439541 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5205905 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0376477 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0504211 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0572993 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0534765 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0490512 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0138215 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0376868 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8847304 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0525197 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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