NPIMap

Organization Active NPI

Adult Family Health Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Clifton, NJ
National Provider Identifier
1992277586
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ADULT FAMILY HEALTH SERVICES LLC
Practice address
53 Orchard St
Clifton, NJ 07013-1832
Phone
(973) 773-7600
Fax
(973) 773-7011
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Viktoriya Fine
Title
Ceo
Phone
(973) 773-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

53 Orchard St
Clifton, NJ 07013-1832

Mailing address

53 Orchard St
Clifton, NJ 07013-1832
Phone (973) 773-7600

Other identifiers 2

IdentifierTypeStateIssuer
0652857MedicaidNJ
0656747MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Adult Family Health Services LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1992277586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600",
            "fax_number": "973-773-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 ORCHARD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131832",
            "telephone_number": "973-773-7600",
            "fax_number": "973-773-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT FAMILY HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "VIKTORIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-773-7600"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0652857",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0656747",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.