NPIMap

Organization Active NPI

Family Service Bureau of Newark

  • Addiction (Substance Use Disorder) Counselor
  • Kearny, NJ
National Provider Identifier
1730658774
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
FAMILY SERVICE BUREAU OF NEWARK
Practice address
379 Kearny Ave
Kearny, NJ 07032-2601
Phone
(201) 246-8077
Fax
(201) 955-6165
NPI assigned
Nov 20, 2018
Last updated
Nov 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Authorized official

Name
CHI Shu Chou, LPC, LCADC
Title
Director of Operations
Phone
(973) 412-2056

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Addiction Psychiatry Physician 2084P0802X

Addresses

Primary practice location

379 Kearny Ave
Kearny, NJ 07032-2601

Mailing address

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

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
Newark, NJ 07103
Phone (973) 412-2056

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1730658774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 S ORANGE AVE",
            "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": "379 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322601",
            "telephone_number": "201-246-8077",
            "fax_number": "201-955-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE BUREAU OF NEWARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "CHI SHU",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "973-412-2056",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.