Private Care Management and Consultation Services, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

44SC05614400 Issued in NJ

Legal business name

PRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES, LLC

Doing business as

Private Care Management, LLC

Practice address

5 Meade St
West Orange, NJ 07052-6003

Phone

(973) 419-0395

Fax

(973) 676-6939

NPI assigned

Nov 16, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Abbott, LCSWNPI 1013381201

Title

Owner

Phone

(973) 419-0395

Specialties & licenses 1

Addresses

Other names 1

• Private Care Management, LLC Doing business as

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.

• Cynthia Abbott

  • Clinical Social Worker
  • West Orange, NJ
  • NPI 1013381201
  Authorized official Same address or phone

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1073055448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEADE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526003",
            "telephone_number": "973-419-0395",
            "fax_number": "973-676-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEADE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070526003",
            "telephone_number": "973-419-0395",
            "fax_number": "973-676-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE CARE MANAGEMENT AND CONSULTATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-419-0395",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "44SC05614400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Care Management, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.