Urban Renewal Corp.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

22858 Issued in NJ

Legal business name

URBAN RENEWAL CORP.

Practice address

53 South Hackensack Ave
Kearny, NJ 07032

Phone

(973) 483-2882

Fax

(973) 870-0247

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lane H. Jacobs

Title

Ceo

Phone

(973) 632-9343

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1861693400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SOUTH HACKENSACK AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "07032",
            "telephone_number": "973-483-2882",
            "fax_number": "973-870-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 SOUTH HACKENSACK AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "07032",
            "telephone_number": "973-483-2882",
            "fax_number": "973-870-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN RENEWAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-632-9343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "22858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kearny, NJ
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.