Interstate Facts, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC01011300 Issued in NJ

Legal business name

INTERSTATE FACTS, LLC

Practice address

238 Main St
Suite 102
Hackensack, NJ 07601-7323

Phone

(201) 488-5188

Fax

(201) 488-5189

NPI assigned

Feb 19, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn A Dixon, LCSW

Title

Executive Director

Phone

(201) 488-5188

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1730328451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 MAIN ST",
            "address_2": "SUITE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017323",
            "telephone_number": "201-488-5188",
            "fax_number": "201-488-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MAIN ST",
            "address_2": "SUITE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017323",
            "telephone_number": "201-488-5188",
            "fax_number": "201-488-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSTATE FACTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-488-5188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC01011300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Thomas Insetta
• Inspire to Be
• Integrated Wholistic Medicine, LLC
• Intergrative Recovery Group
• Internal Medicine Associates of Bergen County P.C
• Interstate Multi-Specialty Medical Group PC
• Interventional Cardiovascular Associates Group, P.a.
• Intouch Mental Wellness LLC
• Laura Iobst, DPT
• Andrew C. Ip, M.D.

• Community/Behavioral Health Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.