NPIMap

Organization Active NPI

Team Management 2000 Inc, Cbo

  • Community/Behavioral Health Agency
  • Newark, NJ
National Provider Identifier
1497992762
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2000054-08 Issued in NJ
Legal business name
TEAM MANAGEMENT 2000 INC, CBO
Practice address
744 Broad St FL 24
Newark, NJ 07102-3802
Phone
(973) 973-0425
Fax
(973) 239-2666
NPI assigned
Jan 8, 2009
Last updated
Sep 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Ms. Ava Faustin
Title
Executive Dir/Ceo
Phone
(973) 324-2220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2000054-08 NJ
Community/Behavioral Health Agency 251S00000X 2000054-08 NJ Primary

Addresses

Primary practice location

744 Broad St FL 24
Newark, NJ 07102-3802

Mailing address

84 Main St
Hackensack, NJ 07601-7143
Phone (201) 487-4700

Other identifiers 1

IdentifierTypeStateIssuer
0183393MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Team Management 2000 Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

395 Pleasant Valley Way
Ste 2
West Orange, NJ 07052

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1497992762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017143",
            "telephone_number": "201-487-4700",
            "fax_number": "201-487-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 BROAD ST FL 24",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071023802",
            "telephone_number": "973-973-0425",
            "fax_number": "973-239-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MANAGEMENT 2000 INC, CBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "FAUSTIN",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "EXECUTIVE DIR/CEO",
        "authorized_official_telephone_number": "973-324-2220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "2000054-08",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "2000054-08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183393",
            "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 Sep 8, 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.