Buddies of New Jersey, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BUDDIES OF NEW JERSEY, INC.

Practice address

61 Grand Ave
3Rd Floor
Englewood, NJ 07631-3572

Phone

(914) 671-3924

Fax

(845) 942-1894

NPI assigned

Jun 25, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark S. Anderson, M.A.

Title

Executive Director

Phone

(201) 489-2900

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Buddies of New Jersey Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Buddies of New Jersey Inc

  • Community/Behavioral Health Agency
  • Hackensack, NJ
  • NPI 1356685838
  NPD tax ID

Locations

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1881958817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HUDSON ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016823",
            "telephone_number": "201-489-2900",
            "fax_number": "201-489-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRAND AVE",
            "address_2": "3RD FLOOR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313572",
            "telephone_number": "914-671-3924",
            "fax_number": "845-942-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUDDIES OF NEW JERSEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-489-2900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250431",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yanique Brown-Coke
• Alan S Brown, M.D.
• Rebecca C Brown, M.D.
• Christina Brutus, LPN
• Victor John Bucalo, M.D.
• Joel A. Budin, M.D.
• Pearl Penina Bukiet, PSYD.
• Deborah Bunim, LCSW PHD
• Bunion Center of New Jersey
• Elizabeth A. Buonomo, LCSW

• Community/Behavioral Health Agency in Englewood, NJ
• Providers in Englewood, 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 Jun 25, 2012; 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.