City of Passaic/ Passaic Alliance

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

2000077-07 Issued in NJ

Legal business name

CITY OF PASSAIC/ PASSAIC ALLIANCE

Practice address

286 Passaic St
Passaic, NJ 07055-5813

Phone

(973) 365-5740

Fax

(973) 365-5743

NPI assigned

May 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Thomas A Fischetti

Title

Director

Phone

(973) 365-5740

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J Smith, LCSW LCADC

  • Clinical Social Worker
  • Park Ridge, NJ
  • NPI 1073146478
  NPD

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1235457623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555813",
            "telephone_number": "973-365-5740",
            "fax_number": "973-365-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555813",
            "telephone_number": "973-365-5740",
            "fax_number": "973-365-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PASSAIC/ PASSAIC ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "FISCHETTI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-365-5740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NJ",
            "license": "2000077-07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joey S Chui, PA C
• Sara Christine Chute, RBT
• Jacob Isaiah Citer, PT, DPT
• City Express Multi Service Inc
• City of Passaic
• City Wide Transportation Inc
• Clarks Town Pharmacy LLC
• Clear View ABA LLC
• Clubhouse Services
• Garrett B Coan, LCSW

• Substance Use Disorder Rehabilitation Clinic/Center in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.