NPIMap

Organization Active NPI

Serv Centers of New Jersey, Inc

  • Mental Health Counselor
  • Cranford, NJ
National Provider Identifier
1194886705
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SERV CENTERS OF NEW JERSEY, INC
Practice address
111 North Avenue West
Cranford, NJ 07016
Phone
(908) 276-3359
Fax
(908) 276-2472
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Van Nostrand
Title
Ceo
Phone
(609) 406-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

111 North Avenue West
Cranford, NJ 07016

Mailing address

380 Scotch Rd
W Trenton, NJ 08628
Phone (609) 406-0100

Other identifiers 1

IdentifierTypeStateIssuer
0039845MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Serv Centers of New Jersey Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

111 North Ave W
Cranford, NJ 07016
Phone (908) 276-3359

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194886705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SCOTCH RD",
            "city": "W TRENTON",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-406-0100",
            "fax_number": "609-406-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTH AVENUE WEST",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "07016",
            "telephone_number": "908-276-3359",
            "fax_number": "908-276-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERV CENTERS OF NEW JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN NOSTRAND",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-406-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039845",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • 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.