Organization Active NPI

Good Neighbor Support Services

  • Case Management Agency
  • Rahway, NJ
National Provider Identifier
1760924823
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GOOD NEIGHBOR SUPPORT SERVICES
Practice address
326 Washington St
Rahway, NJ 07065-5139
Phone
(718) 710-2234
Fax
(732) 827-5932
NPI assigned
Nov 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Mrs. Tosin Adegboyega, MS
Title
Support Cordinator Supervisor
Phone
(718) 710-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NJ Primary

Addresses

Primary practice location

326 Washington St
Rahway, NJ 07065-5139

Mailing address

326 Washington St
Rahway, NJ 07065-5139
Phone (718) 710-2234

Other identifiers 1

IdentifierTypeStateIssuer
0506532MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1760924823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655139",
            "telephone_number": "718-710-2234",
            "fax_number": "732-827-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 WASHINGTON ST",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070655139",
            "telephone_number": "718-710-2234",
            "fax_number": "732-827-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "ADEGBOYEGA",
        "authorized_official_first_name": "TOSIN",
        "authorized_official_title_or_position": "SUPPORT CORDINATOR SUPERVISOR",
        "authorized_official_telephone_number": "718-710-2234",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0506532",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rahway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.