Pilgrimage Outreach,Inc. ( Fbhsp )

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

PILGRIMAGE OUTREACH,INC. ( FBHSP )

Practice address

449 Union Ave
Paterson, NJ 07522-1937

Phone

(973) 389-2165

Fax

(973) 389-2895

NPI assigned

May 21, 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. Joseph Thomas Robinson Jr., NATIONAL PLC

Title

C.E.O.Senior Counselor

Phone

(973) 851-5886

Specialties & licenses 1

Addresses

Other names 1

• Pilgrimage Outreach,Inc. ( FBHSP ) Other name

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982813531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 UNION AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221937",
            "telephone_number": "973-389-2165",
            "fax_number": "973-389-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 UNION AVE",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075221937",
            "telephone_number": "973-389-2165",
            "fax_number": "973-389-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILGRIMAGE OUTREACH,INC. ( FBHSP )",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "C.E.O.SENIOR COUNSELOR",
        "authorized_official_telephone_number": "973-851-5886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NATIONAL PLC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pilgrimage Outreach,Inc. ( FBHSP )",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Comprehensive Outpatient Rehabilitation Facility (CORF) in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) 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.