NPIMap

Organization Active NPI

Family Care Connections, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Woodbury, NJ
National Provider Identifier
1811416688
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
101979 Issued in NJ
Legal business name
FAMILY CARE CONNECTIONS, LLC
Practice address
44 Cooper St Ste 6
Woodbury, NJ 08096-4653
Phone
(856) 579-7303
Fax
(856) 579-7298
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Bruce Elliott Betner Sr., PHD
Title
Ceo
Phone
(856) 579-7303

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 101979 NJ
Community/Behavioral Health Agency 251S00000X 101979 NJ
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 101979 NJ Primary
Substance Abuse Rehabilitation Facility 324500000X 101979 NJ

Addresses

Primary practice location

44 Cooper St Ste 6
Woodbury, NJ 08096-4653

Mailing address

44 Cooper St Ste 6
Woodbury, NJ 08096-4653
Phone (856) 579-7303

Other identifiers 3

IdentifierTypeStateIssuer
0493198MedicaidNJ
0442283MedicaidNJ
0474771MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Family Care Connections LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

44 Cooper St
Ste 6
Woodbury, NJ 08096
Phone (856) 579-7303

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811416688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 COOPER ST STE 6",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964653",
            "telephone_number": "856-579-7303",
            "fax_number": "856-579-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COOPER ST STE 6",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080964653",
            "telephone_number": "856-579-7303",
            "fax_number": "856-579-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BETNER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-579-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "101979",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "101979",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "101979",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NJ",
            "license": "101979",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0493198",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442283",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474771",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.