Organization Active NPI

NJ Family Support

  • Case Management Agency
  • East Orange, NJ
National Provider Identifier
1821523085
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
163WC0400X Issued in NJ
Legal business name
NJ FAMILY SUPPORT
Practice address
121 4TH Ave
East Orange, NJ 07017-4816
Phone
(864) 367-5905
NPI assigned
Apr 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Mirlaine BichotteNPI 1649349861
Title
Owner
Phone
(864) 367-5905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 163WC0400X NJ Primary

Addresses

Primary practice location

121 4TH Ave
East Orange, NJ 07017-4816

Mailing address

121 4TH Ave
East Orange, NJ 07017-4816
Phone (864) 367-5905

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1821523085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 4TH AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174816",
            "telephone_number": "864-367-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 4TH AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070174816",
            "telephone_number": "864-367-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ FAMILY SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "BICHOTTE",
        "authorized_official_first_name": "MIRLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-367-5905"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "163WC0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.