NPIMap

Organization Active NPI

Lakewood Resource and Referral Center, Inc.

Doing business as Center for Health Education Medicine and Dentistry

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
National Provider Identifier
1205644333
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
LAKEWOOD RESOURCE AND REFERRAL CENTER, INC.
Doing business as
Center for Health Education Medicine and Dentistry
Practice address
1771 Madison Ave
Lakewood, NJ 08701-1242
Phone
(732) 364-6666
Fax
(732) 364-3559
NPI assigned
Dec 20, 2024
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
LAKEWOOD RESOURCE AND REFERRAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
David Friedman
Title
Ceo
Phone
(732) 364-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

1771 Madison Ave
Lakewood, NJ 08701-1242

Mailing address

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-6666

Other names 2

  • Center for Health Education Medicine and Dentistry Doing business as
  • Mobile 2 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080307000331 NJ Part B Supplier - Clinic/Group Practice 6901981497 Receives reassigned benefits from 190 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jackson, NJ; Lakewood, NJ
O20090618000014 NJ Part A Provider - Federally Qualified Health Center (FQHC) 6901981497 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakewood, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205644333. Details of each certification follow.

Federally qualified health center certification: CCN 311881

Legal name
LAKEWOOD RESOURCE AND REFERRAL CENTER INC
Doing business as
CENTER FOR HEALTH EDUCATION MEDICINE AND DENTISTRY
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 18, 2009
Last certification
Jun 18, 2009
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 16, 2004 in NJ
Enrollment address
1771 Madison Ave
Lakewood, NJ 87011251

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Resource and Referral Center Inc7 organizations share this tax ID, including this one
Part of
Lakewood Resource and Referral Center Inc

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David Friedman Individual 5% Or Greater Direct Ownership Interest Jan 7, 2009
W-2 Managing EmployeeCeo Jun 1, 2025

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1205644333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011242",
            "telephone_number": "732-364-6666",
            "fax_number": "732-364-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011242",
            "telephone_number": "732-364-6666",
            "fax_number": "732-364-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD RESOURCE AND REFERRAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEWOOD RESOURCE AND REFERRAL CENTER INC",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-364-2144"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Health Education Medicine and Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mobile 2",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.