Organization Active NPI

Hispanic Family Center of Southern New Jersey

  • Adult Mental Health Clinic/Center
  • Camden, NJ
National Provider Identifier
1033242326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HISPANIC FAMILY CENTER OF SOUTHERN NEW JERSEY
Practice address
35 Church St
Camden, NJ 08105-2413
Phone
(856) 541-6985
Fax
(856) 963-2663
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elsa Candelario, MSW, LCSW
Title
Executive Director
Phone
(856) 541-6985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NJ Primary

Addresses

Primary practice location

35 Church St
Camden, NJ 08105-2413

Mailing address

35 Church St
Camden, NJ 08105-2413
Phone (856) 541-6985

Other identifiers 1

IdentifierTypeStateIssuer
0053058MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Hispanic Family Center of Southern New Jersey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2700 Westfield Ave
Camden, NJ 08105
Phone (856) 365-7393

35 Church St
Camden, NJ 08105
Phone (856) 541-6985

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033242326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CHURCH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081052413",
            "telephone_number": "856-541-6985",
            "fax_number": "856-963-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CHURCH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081052413",
            "telephone_number": "856-541-6985",
            "fax_number": "856-963-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC FAMILY CENTER OF SOUTHERN NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-541-6985",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053058",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.