Organization Active NPI

Lakewood Community Services Corp.

  • Community/Behavioral Health Agency
  • Lakewood, NJ
National Provider Identifier
1386894590
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LAKEWOOD COMMUNITY SERVICES CORP.
Practice address
415 Carey St
Lakewood, NJ 08701-1747
Phone
(732) 901-6001
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Authorized official

Name
Mr. Moshe Z. Weisberg
Title
President
Phone
(732) 901-6001

Specialties & licenses 1

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

Addresses

Primary practice location

415 Carey St
Lakewood, NJ 08701-1747

Mailing address

450 W Kennedy Blvd
Lakewood, NJ 08701-1269

Other identifiers 2

IdentifierTypeStateIssuer
0170054MedicaidNJ
0257621MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@thelcsc.org

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Community Services Corp32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651449600000",
    "number": "1386894590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CAREY ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011747",
            "telephone_number": "732-901-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD COMMUNITY SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-901-6001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170054",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257621",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thelcsc.org",
            "affiliation": "N",
            "address_1": "415 Carey St",
            "city": "Lakewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087011747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.