Organization Active NPI

Buddies of New Jersey Inc

  • Community/Behavioral Health Agency
  • Hackensack, NJ
National Provider Identifier
1356685838
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000295-08 Issued in NJ
Legal business name
BUDDIES OF NEW JERSEY INC
Practice address
149 Hudson St
Hackensack, NJ 07601-6823
Phone
(201) 489-2900
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Mr. Emil Vitale, LCADC
Title
Clinical Director
Phone
(201) 489-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2000295-08 NJ Primary

Addresses

Primary practice location

149 Hudson St
Hackensack, NJ 07601-6823

Mailing address

149 Hudson St
Hackensack, NJ 07601-6823
Phone (201) 489-2900

Other identifiers 1

IdentifierTypeStateIssuer
0250431OtherNJPROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Buddies of New Jersey Inc2 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

149 Hudson St
Hackensack, NJ 07601
Phone (201) 489-2900

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1356685838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HUDSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016823",
            "telephone_number": "201-489-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HUDSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016823",
            "telephone_number": "201-489-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDDIES OF NEW JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "EMIL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "201-489-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000295-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "0250431",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.