Carelink Community Support Services of New Jersey Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CARELINK COMMUNITY SUPPORT SERVICES OF NEW JERSEY INC

Practice address

1200 Little Gloucester Road
Apartment #1312
Clementon, NJ 08021-5734

Phone

(856) 435-5878

Fax

(856) 435-5951

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

James Philip Kyle

Title

Controller

Phone

(610) 874-1119

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1790833242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631759",
            "telephone_number": "610-874-1119",
            "fax_number": "610-565-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LITTLE GLOUCESTER ROAD",
            "address_2": "APARTMENT #1312",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080215734",
            "telephone_number": "856-435-5878",
            "fax_number": "856-435-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK COMMUNITY SUPPORT SERVICES OF NEW JERSEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "610-874-1119"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053651",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Clementon, 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 Sep 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.