Organization Active NPI

Coordinated Family Care

  • Case Management Agency
  • Edison, NJ
National Provider Identifier
1205988813
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0100860122 Issued in NJ
Legal business name
COORDINATED FAMILY CARE
Practice address
100 Metroplex Dr
Suite 301
Edison, NJ 08817-2684
Phone
(732) 572-3663
Fax
(732) 572-6392
NPI assigned
Jan 17, 2007
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
Ms. Suzanne Siverio, LCSW, CDAC
Title
Executive Director
Phone
(732) 572-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0100860122 NJ Primary

Addresses

Primary practice location

100 Metroplex Dr
Suite 301
Edison, NJ 08817-2684

Mailing address

100 Metroplex Dr
Suite 301
Edison, NJ 08817-2684
Phone (732) 572-3663

Other identifiers 1

IdentifierTypeStateIssuer
8458103MedicaidNJ

National Provider Directory

National Provider Directory

Locations

100 Metroplex Dr
Ste 301
Edison, NJ 08817
Phone (732) 572-3663

30 Silverline Dr
Ste 1
North Brunswick, NJ 08902
Phone (732) 937-5437

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205988813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPLEX DR",
            "address_2": "SUITE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172684",
            "telephone_number": "732-572-3663",
            "fax_number": "732-572-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METROPLEX DR",
            "address_2": "SUITE 301",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172684",
            "telephone_number": "732-572-3663",
            "fax_number": "732-572-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATED FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIVERIO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-572-3663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, CDAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "0100860122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8458103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, 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.