Active NPI
Women'S Rising/Project Home
- Children's Substance Abuse Rehabilitation Facility
- Jersey City, NJ
National Provider Identifier
1013248137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Substance Abuse Rehabilitation Facility
- 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 CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Neary, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0187275 | Other | NJ | MEDICAID WORK FIRST (SAI) |
National Provider Directory
National Provider Directory- Tax ID family
- Bayonne Community Mental Health Center
- 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.
-
- Addiction (Substance Use Disorder) Counselor
- Bayonne, NJ
- NPI 1841725306
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Jersey City, NJ
- NPI 1558522086
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.