Active NPI
The Van Ost Institute for Family Living
- Addiction Medicine (Psychiatry & Neurology) Physician
- Englewood, NJ
National Provider Identifier
1891779625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 22295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7734204 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Woodcliff Lake, NJ
- NPI 1265596647
-
- Child & Adolescent Psychiatry Physician
- Roanoke, VA
- NPI 1811015092
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
- The Gastroenterology Group of Northern New Jersey,LLC
- The Institute for Robotic and Minimally Invasive Gynecologic Surgery
- The Kahane Center, LLC
- The Occupational Therapy Center
- The Van Ost Institute
- Johan The, D.D.S., M.M.SC.
- Margaliet S Themans-Loss, PT
- Yeni Milagros Then-Yaegel, LCSW
- Therapy Center of Englewood,LLC
- Thomas Youm MD LLC
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.