Organization Active NPI

Passaic County Board of Social Services

  • Case Management Agency
  • Paterson, NJ
National Provider Identifier
1891822508
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
NONE Issued in NJ
Legal business name
PASSAIC COUNTY BOARD OF SOCIAL SERVICES
Practice address
80 Hamilton St
Paterson, NJ 07505-2024
Phone
(973) 881-3208
Fax
(973) 345-7125
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mark Steven
Title
Assistant Administrative Supervisor
Phone
(973) 881-3208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NONE NJ Primary

Addresses

Primary practice location

80 Hamilton St
Paterson, NJ 07505-2024

Mailing address

80 Hamilton St
Paterson, NJ 07505-2024
Phone (973) 881-3208

Other identifiers 2

IdentifierTypeStateIssuer
0059218MedicaidNJ
0059200MedicaidNJ

National Provider Directory

National Provider Directory

Locations

80 Hamilton St
Paterson, NJ 07505
Phone (973) 881-3208

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1891822508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HAMILTON ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052024",
            "telephone_number": "973-881-3208",
            "fax_number": "973-345-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HAMILTON ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075052024",
            "telephone_number": "973-881-3208",
            "fax_number": "973-345-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAIC COUNTY BOARD OF SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "STEVEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "973-881-3208"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059218",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paterson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.