| Asun Star Community Outreach | |
|
199 Railroad Ave Ste 3a East Rutherford NJ 07073-1915 | |
| (973) 771-3300 | |
| (973) 679-2784 |
| Full Name | Asun Star Community Outreach |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 199 Railroad Ave Ste 3a, East Rutherford, New Jersey |
| Authorized Official Name and Position | Nickie Alston (FOUNDER) |
| Authorized Official Contact | 9176813747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Asun Star Community Outreach 199 Railroad Ave Ste 3a East Rutherford NJ 07073-1915 Ph: (973) 771-3300 | Asun Star Community Outreach 199 Railroad Ave Ste 3a East Rutherford NJ 07073-1915 Ph: (973) 771-3300 |
| NPI Number | 1053566125 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 09/30/2023 |
| Certification Date | 09/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053566125 | NPI | - | NPPES |
| 0161497 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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