NPIMap

Organization Active NPI

Lakewood Community Services Corp.

  • Community/Behavioral Health Agency
  • Lakewood, NJ
National Provider Identifier
1053657635
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKEWOOD COMMUNITY SERVICES CORP.
Practice address
225 4TH St
Lakewood, NJ 08701-3228
Phone
(732) 901-6001
Fax
(732) 364-7627
NPI assigned
Dec 29, 2012
Last updated
Jan 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Moshe Weisberg
Title
President
Phone
(732) 901-6001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

225 4TH St
Lakewood, NJ 08701-3228

Mailing address

900 Forest Ave
Lakewood, NJ 08701-2620
Phone (732) 901-6001

Other identifiers 1

IdentifierTypeStateIssuer
0279561MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@thelcsc.org

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Community Services Corp32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1053657635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FOREST AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012620",
            "telephone_number": "732-901-6001",
            "fax_number": "732-364-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 4TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013228",
            "telephone_number": "732-901-6001",
            "fax_number": "732-364-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD COMMUNITY SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-29",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-901-6001"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279561",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thelcsc.org",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "225 4th St",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087013228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.