Foundation for Adult Family Health Care Services

Primary specialty

Social WorkerTaxonomy code 104100000X

License

10113-01-105 Issued in NJ

Legal business name

FOUNDATION FOR ADULT FAMILY HEALTH CARE SERVICES

Practice address

53 Orchard St
Clifton, NJ 07013-1832

Phone

(973) 773-7600

Fax

(973) 773-7011

NPI assigned

Apr 3, 2007

Last updated

Aug 22, 2020By 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

Mr. Viktoriya Fine

Title

Business Manager

Phone

(973) 773-7600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114048139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600",
            "fax_number": "973-773-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600",
            "fax_number": "973-773-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION FOR ADULT FAMILY HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "973-773-7600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "10113-01-105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9061908",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.