NPIMap

Organization Active NPI

North Jersey Friendship House, Inc

  • Community/Behavioral Health Agency
  • Hackensack, NJ
National Provider Identifier
1750447207
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
920090105 Issued in NJ
Legal business name
NORTH JERSEY FRIENDSHIP HOUSE, INC
Practice address
125 Atlantic St
Hackensack, NJ 07601-4135
Phone
(201) 488-2121
Fax
(201) 488-7161
NPI assigned
Dec 29, 2006
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 Executive Officer
Phone
(201) 488-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 920090105 NJ Primary

Addresses

Primary practice location

125 Atlantic St
Hackensack, NJ 07601-4135

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0023507MedicaidNJ

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1750447207",
    "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": "125 ATLANTIC ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014135",
            "telephone_number": "201-488-2121",
            "fax_number": "201-488-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH JERSEY FRIENDSHIP HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "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  EXECUTIVE 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": "NJ",
            "license": "920090105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, 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.