Organization Active NPI

Women'S Rising/Project Home

  • Children's Substance Abuse Rehabilitation Facility
  • Jersey City, NJ
National Provider Identifier
1013248137
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
WOMEN'S RISING/PROJECT HOME
Practice address
657 Bergen Ave
Jersey City, NJ 07304-2649
Phone
(201) 309-4663
Fax
(201) 309-1380
NPI assigned
Jan 29, 2010
Organization subpart
Yes
Parent organization
BAYONNE COMMUNITY MENTAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. John Neary, LCSWNPI 1558522086
Title
Program Director
Phone
(201) 309-4663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

657 Bergen Ave
Jersey City, NJ 07304-2649

Mailing address

657 Bergen Ave
Jersey City, NJ 07304-2649
Phone (201) 309-4663

Other identifiers 1

IdentifierTypeStateIssuer
0187275OtherNJMEDICAID WORK FIRST (SAI)

National Provider Directory

National Provider Directory
Tax ID family
Bayonne Community Mental Health Center2 organizations share this tax ID, including this one
Part of
Bayonne Community Mental Health Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264723200000",
    "number": "1013248137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042649",
            "telephone_number": "201-309-4663",
            "fax_number": "201-309-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 BERGEN AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073042649",
            "telephone_number": "201-309-4663",
            "fax_number": "201-309-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S RISING/PROJECT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYONNE COMMUNITY MENTAL HEALTH CENTER",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "201-309-4663",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WORK FIRST (SAI)",
            "identifier": "0187275",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.