NPIMap

Organization Active NPI

Family Service Bureau of Newark

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1346535663
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
44SC01305900 Issued in NJ
Legal business name
FAMILY SERVICE BUREAU OF NEWARK
Practice address
274 South Orange Avenue
Newark, NJ 07103
Phone
(973) 484-3452
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
CHI Shu Chou, LPC, LCADC
Title
Director of Operations
Phone
(973) 412-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC01305900 NJ Primary

Addresses

Primary practice location

274 South Orange Avenue
Newark, NJ 07103

Mailing address

274 S Orange Ave
Newark, NJ 07103-2419
Phone (973) 412-2062

Other practice location 1

379 Kearny Ave
Kearny, NJ 07032-2601
Phone (201) 246-8077

Other identifiers 1

IdentifierTypeStateIssuer
0164062MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Family Service Bureau of Newark5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

274 S Orange Ave
Newark, NJ 07103
Phone (973) 412-2056

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1346535663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 S ORANGE AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032419",
            "telephone_number": "973-412-2062",
            "fax_number": "973-484-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 SOUTH ORANGE AVENUE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07103",
            "telephone_number": "973-484-3452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "379 Kearny Ave",
            "address_purpose": "LOCATION",
            "city": "Kearny",
            "state": "NJ",
            "postal_code": "070322601",
            "country_code": "US",
            "telephone_number": "201-246-8077",
            "fax_number": "201-955-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY SERVICE BUREAU OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "CHI SHU",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "973-412-2056",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC01305900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164062",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.