Active NPI
Family Care Connections, LLC
- Community/Behavioral Health Agency
- Woodbury, NJ
National Provider Identifier
1043739634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 101979
- Legal business name
- FAMILY CARE CONNECTIONS, LLC
- Practice address
- 44 Cooper St Ste 6
Woodbury, NJ 08096-4653 - Phone
- (856) 579-7303
- Fax
- (856) 579-7298
- NPI assigned
- Sep 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Elliott Betner Sr., PHD
- Title
- Ceo
- Phone
- (856) 579-7303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 101979 | NJ | Primary |
Addresses
Primary practice location
44 Cooper St Ste 6
Woodbury, NJ 08096-4653
Mailing address
44 Cooper St Ste 6
Woodbury, NJ 08096-4653
Phone (856) 579-7303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0474771 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Family Care Connections LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodbury, NJ
- NPI 1780812446
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Woodbury, NJ
- NPI 1811416688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1043739634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 COOPER ST STE 6",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080964653",
"telephone_number": "856-579-7303",
"fax_number": "856-579-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 COOPER ST STE 6",
"city": "WOODBURY",
"state": "NJ",
"postal_code": "080964653",
"telephone_number": "856-579-7303",
"fax_number": "856-579-7298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE CONNECTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BETNER",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ELLIOTT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "856-579-7303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "101979",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0474771",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.