NPIMap

Organization Active NPI

Irvington Family Services, Inc.

  • Community/Behavioral Health Agency
  • Irvington, NJ
National Provider Identifier
1902127848
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
12345-01-04 Issued in NJ
Legal business name
IRVINGTON FAMILY SERVICES, INC.
Practice address
660 S 21St St
Irvington, NJ 07111-4109
Phone
(973) 372-4433
Fax
(973) 372-4411
NPI assigned
Jun 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Mr. Roy Hargrove Jr., MHS
Title
Administrator
Phone
(973) 372-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 12345-01-04 NJ Primary

Addresses

Primary practice location

660 S 21St St
Irvington, NJ 07111-4109

Mailing address

660 S 21St St
Irvington, NJ 07111-4109
Phone (973) 372-4433

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1902127848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S 21ST ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114109",
            "telephone_number": "973-372-4433",
            "fax_number": "973-372-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S 21ST ST",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071114109",
            "telephone_number": "973-372-4433",
            "fax_number": "973-372-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINGTON FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "HARGROVE",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "973-372-4433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MHS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "12345-01-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.