NPIMap

Organization Active NPI

Jewish Family & Children's Services of Northern New Jersey, Inc.

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1851397947
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JEWISH FAMILY & CHILDREN'S SERVICES OF NORTHERN NEW JERSEY, INC.
Practice address
1485 Teaneck Road
Teaneck, NJ 07666
Phone
(201) 837-9090
Fax
(201) 837-9393
NPI assigned
Jun 23, 2005
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Jennifer Navarro
Title
Acct Billing Clerk
Phone
(201) 837-9090

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X Primary
Voluntary or Charitable Agency 251V00000X
Voluntary or Charitable Agency 251V00000X NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X

Addresses

Primary practice location

1485 Teaneck Road
Teaneck, NJ 07666

Mailing address

1485 Teaneck Road
Teaneck, NJ 07666
Phone (201) 837-9090

Other practice location 1

506 Hamburg Tpke
Wayne, NJ 07470-2068
Phone (201) 837-9090

Other identifiers 1

IdentifierTypeStateIssuer
0267473MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204001043 NJ Part B Supplier - Clinic/Group Practice 8729983465 Receives reassigned benefits from 12 practitioners
Practice locations: Teaneck, NJ; Wayne, NJ

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Childrens Services of Northern New Jersey Inc3 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

17-10 River Rd
Fair Lawn, NJ 07410
Phone (201) 796-5151

1 Pike Dr
Wayne, NJ 07470
Phone (315) 889-1690

506 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (201) 837-9090

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1851397947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-837-9090",
            "fax_number": "201-837-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 TEANECK ROAD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666",
            "telephone_number": "201-837-9090",
            "fax_number": "201-837-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 Hamburg Tpke",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "074702068",
            "country_code": "US",
            "telephone_number": "201-837-9090",
            "fax_number": "201-837-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEWISH FAMILY & CHILDREN'S SERVICES OF NORTHERN NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ACCT BILLING CLERK",
        "authorized_official_telephone_number": "201-837-9090"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0267473",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.