NPIMap

Organization Active NPI

Hispanic Family Center of Southern NJ Inc

  • Community/Behavioral Health Agency
  • Camden, NJ
National Provider Identifier
1346542891
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
40305-01-04 Issued in NJ
Legal business name
HISPANIC FAMILY CENTER OF SOUTHERN NJ INC
Practice address
2700 Westfield Ave
Camden, NJ 08105-2427
Phone
(856) 365-7393
Fax
(856) 365-1862
NPI assigned
Dec 3, 2010
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Ms. Elsa Candelario, MSW, LCSW
Title
Executive Director
Phone
(856) 541-6985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 40305-01-04 NJ Primary
Community/Behavioral Health Agency 251S00000X 40305-01-05 NJ

Addresses

Primary practice location

2700 Westfield Ave
Camden, NJ 08105-2427

Mailing address

35 S 29TH St
Camden, NJ 08105-2210
Phone (856) 541-6985

Other identifiers 1

IdentifierTypeStateIssuer
5353203MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Hispanic Family Center of Southern New Jersey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

35 S 29th St
Camden, NJ 08105

NPI Registry JSON

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1346542891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 S 29TH ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081052210",
            "telephone_number": "856-541-6985",
            "fax_number": "856-963-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTFIELD AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081052427",
            "telephone_number": "856-365-7393",
            "fax_number": "856-365-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC FAMILY CENTER OF SOUTHERN NJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-541-6985",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "40305-01-04",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "40305-01-05",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5353203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.