Nueva Vida Behavioral Health Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NUEVA VIDA BEHAVIORAL HEALTH CENTER

Practice address

427 Market St
Camden, NJ 08102-1525

Phone

(856) 338-1995

Fax

(856) 338-0247

NPI assigned

Mar 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cesar S Tavera, M.D.

Title

Executive Director

Phone

(856) 338-1995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912024639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MARKET ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021525",
            "telephone_number": "856-338-1995",
            "fax_number": "856-338-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MARKET ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021525",
            "telephone_number": "856-338-1995",
            "fax_number": "856-338-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VIDA BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAVERA",
        "authorized_official_first_name": "CESAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "856-338-1995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7995709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nellie Novak, MD
• Adam Noy, MD
• Nantale Nsibirwa, NP
• Nora Ntsiba, DO
• Denise Nucifora, CRNP
• Megan Nugent, APN
• Alberto Nunez Negron, M.D.
• Venitius Nunez, MD
• Hazel Ann Nurse, M.D.
• Samantha Nusom, LCSW

• Mental Health Counselor in Camden, NJ
• Providers in Camden, NJ by specialty
• Mental Health Counselor in New Jersey

• 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.