SERV CENTERS OF NEW JERSEY INC NPI 1629130729

NPI Information

NPI: 1629130729
Provider Name: SERV CENTERS OF NEW JERSEY, INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
111 NORTH AVENUE WEST
CRANFORD, NJ
ZIP 07016
Phone: (908) 276-3359
Get Directions

SERV CENTERS OF NEW JERSEY, INC is a residential treatment facility emotionally disturbed children in Cranford, NJ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. SERV CENTERS OF NEW JERSEY, INC NPI is 1629130729. The provider is registered as an organization entity type.

The provider's business location address is:

111 NORTH AVENUE WEST
CRANFORD, NJ
ZIP 07016
Phone: (908) 276-3359
Fax: (609) 276-2472

The provider's authorized official is Gary Van Nostrand .
The authorized official title is Ceo and has the following contact phone number (609) 406-0100.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	50004X42Y207	NEW JERSEY	No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	50004X42Y307	NEW JERSEY	No
3	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children	4040	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8535906	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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