NPIMap

Organization Active NPI

Cope Center, Inc.

  • Clinic/Center
  • Montclair, NJ
National Provider Identifier
1073646352
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
22203 Issued in NJ
Legal business name
COPE CENTER, INC.
Practice address
104 Bloomfield Ave
Montclair, NJ 07042-4723
Phone
(973) 783-6655
Fax
(973) 783-1658
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Sue Ann Seidenfeld, MS, LCADC
Title
Executive Director
Phone
(973) 783-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 22203 NJ Primary

Addresses

Primary practice location

104 Bloomfield Ave
Montclair, NJ 07042-4723

Mailing address

104 Bloomfield Ave
Montclair, NJ 07042-4723
Phone (973) 783-6655

Other identifiers 1

IdentifierTypeStateIssuer
7609604MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Cope Center Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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": "1658361600000",
    "number": "1073646352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424723",
            "telephone_number": "973-783-6655",
            "fax_number": "973-783-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BLOOMFIELD AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424723",
            "telephone_number": "973-783-6655",
            "fax_number": "973-783-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SEIDENFELD",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-783-6655",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LCADC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "22203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7609604",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, 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.

Verify at the official NPI Registry.