NPIMap

Organization Active NPI

Support Services of America Inc.

  • Community/Behavioral Health Agency
  • Pine Hill, NJ
National Provider Identifier
1104378165
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SUPPORT SERVICES OF AMERICA INC.
Practice address
35 Congress Rd
Pine Hill, NJ 08021-6533
Phone
(856) 761-5316
Fax
(856) 513-0110
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Mr. Walter Johnson III, MSM
Title
President/Ceo
Phone
(609) 829-8158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

35 Congress Rd
Pine Hill, NJ 08021-6533

Mailing address

35 Congress Rd
Pine Hill, NJ 08021-6533
Phone (856) 761-5316

Other names 1

  • SSA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ssa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1104378165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CONGRESS RD",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216533",
            "telephone_number": "856-761-5316",
            "fax_number": "856-513-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CONGRESS RD",
            "city": "PINE HILL",
            "state": "NJ",
            "postal_code": "080216533",
            "telephone_number": "856-761-5316",
            "fax_number": "856-513-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT SERVICES OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "609-829-8158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MSM"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.