NPIMap

Organization Active NPI

North Jersey Friendship House Inc

  • Community/Behavioral Health Agency
  • Wayne, NJ
National Provider Identifier
1528670619
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH JERSEY FRIENDSHIP HOUSE INC
Practice address
45 Urban Club Rd
Wayne, NJ 07470-2000
Phone
(973) 987-3278
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Dr. Dinorah D'Auria, PSYD
Title
Chief Financial Officer
Phone
(201) 488-2121

Specialties & licenses 1

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

Addresses

Primary practice location

45 Urban Club Rd
Wayne, NJ 07470-2000

Mailing address

125 Atlantic St
Hackensack, NJ 07601-4135
Phone (201) 488-2121

Other identifiers 2

IdentifierTypeStateIssuer
0023507MedicaidNJ
0512583MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
North Jersey Friendship House Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

45 Urban Club Rd
Wayne, NJ 07470
Phone (973) 987-3278

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1528670619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ATLANTIC ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014135",
            "telephone_number": "201-488-2121",
            "fax_number": "201-488-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 URBAN CLUB RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702000",
            "telephone_number": "973-987-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY FRIENDSHIP HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "D'AURIA",
        "authorized_official_first_name": "DINORAH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "201-488-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023507",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0512583",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.