Organization Active NPI

Family Service Bureau of Newark

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1376673814
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101050204 Issued in NJ
Legal business name
FAMILY SERVICE BUREAU OF NEWARK
Practice address
274 S Orange Ave
2ND Floor
Newark, NJ 07103-2419
Phone
(973) 412-2056
Fax
(973) 484-3452
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Christina Ward, LCSWNPI 1235702135
Title
Director
Phone
(973) 286-2837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101050204 NJ Primary

Addresses

Primary practice location

274 S Orange Ave
2ND Floor
Newark, NJ 07103-2419

Mailing address

274 S Orange Ave
2ND Floor
Newark, NJ 07103-2419
Phone (973) 412-2056

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
0021105MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000263 NJ Part B Supplier - Clinic/Group Practice 1850346164 Receives reassigned benefits from 3 practitioners
Practice locations: Kearny, NJ; Newark, NJ

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
Fl 2
Newark, NJ 07103
Phone (973) 412-2056

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1376673814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 S ORANGE AVE",
            "address_2": "2ND FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032419",
            "telephone_number": "973-412-2056",
            "fax_number": "973-484-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 S ORANGE AVE",
            "address_2": "2ND FLOOR",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032419",
            "telephone_number": "973-412-2056",
            "fax_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": "2007-03-06",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-286-2837",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "101050204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021105",
            "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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.