NPIMap

Organization Active NPI

Family Resource Associates, Inc.

  • Early Intervention Provider Agency
  • Red Bank, NJ
National Provider Identifier
1770024465
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FAMILY RESOURCE ASSOCIATES, INC.
Practice address
210 Newman Springs Rd E
Red Bank, NJ 07701-1439
Phone
(732) 747-5310
Fax
(732) 747-1896
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Ms. Nancy Phalanukorn, M.A.
Title
Executive Director
Phone
(732) 747-5310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

210 Newman Springs Rd E
Red Bank, NJ 07701-1439

Mailing address

210 Newman Springs Rd E
Red Bank, NJ 07701-1439
Phone (732) 747-5310

Other identifiers 1

IdentifierTypeStateIssuer
1083858575MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Family Resource Associates Inc5 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.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1770024465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NEWMAN SPRINGS RD E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011439",
            "telephone_number": "732-747-5310",
            "fax_number": "732-747-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NEWMAN SPRINGS RD E",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011439",
            "telephone_number": "732-747-5310",
            "fax_number": "732-747-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY RESOURCE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "PHALANUKORN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-747-5310",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083858575",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.