Outsiders Youth Association

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUTSIDERS YOUTH ASSOCIATION

Practice address

100 Dana St
Phillipsburg, NJ 08865-1937

Phone

(973) 855-1206

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Azanae Diggs-Jackson

Title

Ceo

Phone

(973) 855-1206

Specialties & licenses 1

Addresses

Tax ID family

Outsiders Youth Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Outsiders Youth Association

  • In Home Supportive Care Agency
  • Phillipsburg, NJ
  • NPI 1548153463
  NPD tax ID
• Outsiders Youth Association

  • Respite Care
  • Phillipsburg, NJ
  • NPI 1780482026
  NPD tax ID

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1346079399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DANA ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651937",
            "telephone_number": "973-855-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DANA ST",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651937",
            "telephone_number": "973-855-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDERS YOUTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "DIGGS-JACKSON",
        "authorized_official_first_name": "AZANAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-855-1206"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Osei-Fosu
• Richard Mark Ostrosky, LSW
• Ajiro Oghene Osunsanya
• Oswayo Management Inc
• Laina Ouellette, BS, RN
• Outsiders Youth Association
• Outsiders Youth Association
• P'Burg Surgical Professional Association
• Susan Pacana, DPT
• Page One Resource Center

• Community/Behavioral Health Agency in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.