NPIMap

Organization Active NPI

Team Management 2000 Inc

  • Community/Behavioral Health Agency
  • West Orange, NJ
National Provider Identifier
1033356019
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000054-08 Issued in NJ
Legal business name
TEAM MANAGEMENT 2000 INC
Practice address
395 Pleasant Valley Way
West Orange, NJ 07052-2998
Phone
(973) 326-2220
Fax
(973) 239-2666
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Ava Faustin
Title
Executive Dir/Ceo
Phone
(201) 487-4700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2000054-08 NJ
Community/Behavioral Health Agency 251S00000X 2000054-08 NJ Primary

Addresses

Primary practice location

395 Pleasant Valley Way
West Orange, NJ 07052-2998

Mailing address

20 Banta PL
Suite 100
Hackensack, NJ 07601-5611
Phone (201) 487-4700

Other identifiers 1

IdentifierTypeStateIssuer
0182044MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Team Management 2000 Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

20 Banta Pl
Ste 100
Hackensack, NJ 07601

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1033356019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BANTA PL",
            "address_2": "SUITE 100",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015611",
            "telephone_number": "201-487-4700",
            "fax_number": "201-487-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PLEASANT VALLEY WAY",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522998",
            "telephone_number": "973-326-2220",
            "fax_number": "973-239-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MANAGEMENT 2000 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "EXECUTIVE DIR/CEO",
        "authorized_official_telephone_number": "201-487-4700"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "2000054-08",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000054-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0182044",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.