Organization Active NPI

The Van Ost Institute for Family Living

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Englewood, NJ
National Provider Identifier
1891779625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
22295 Issued in NJ
Legal business name
THE VAN OST INSTITUTE FOR FAMILY LIVING
Practice address
150 E Palisade Ave
Englewood, NJ 07631-3013
Phone
(201) 569-6667
Fax
(201) 569-7504
NPI assigned
Dec 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Carlos Jr., MA LPC
Title
Executive Director
Phone
(201) 569-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084A0401X 22295 NJ Primary

Addresses

Primary practice location

150 E Palisade Ave
Englewood, NJ 07631-3013

Mailing address

150 E Palisade Ave
Englewood, NJ 07631-3013
Phone (201) 569-6667

Other identifiers 1

IdentifierTypeStateIssuer
7734204MedicaidNJ

National Provider Directory

National Provider Directory

Locations

150 E Palisade Ave
Englewood, NJ 07631
Phone (201) 569-6667

Practitioners & affiliated clinicians

Practitioners 2

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": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891779625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313013",
            "telephone_number": "201-569-6667",
            "fax_number": "201-569-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PALISADE AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313013",
            "telephone_number": "201-569-6667",
            "fax_number": "201-569-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VAN OST INSTITUTE FOR FAMILY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-569-6667",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NJ",
            "license": "22295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7734204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.