Bring Hope A Nj Nonprofit Corporation | |
400 Ramapo Ave Pompton Lakes NJ 07442-1825 | |
(973) 858-8163 | |
(862) 666-1074 |
Full Name | Bring Hope A Nj Nonprofit Corporation |
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Speciality | Community/Behavioral Health |
Location | 400 Ramapo Ave, Pompton Lakes, New Jersey |
Authorized Official Name and Position | Karl D Roman (PRESIDENT) |
Authorized Official Contact | 9738588163 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bring Hope A Nj Nonprofit Corporation Po Box 493 Pompton Lakes NJ 07442-0493 Ph: (973) 858-8163 | Bring Hope A Nj Nonprofit Corporation 400 Ramapo Ave Pompton Lakes NJ 07442-1825 Ph: (973) 858-8163 |
NPI Number | 1376165670 |
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Provider Enumeration Date | 05/11/2020 |
Last Update Date | 10/21/2024 |
Certification Date | 10/21/2024 |
Medicare PECOS PAC ID | 7214343060 |
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Medicare Enrollment ID | O20210303000800 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376165670 | NPI | - | NPPES |
Provider Name | Caren Jacobs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659677730 PECOS PAC ID: 5496932881 Enrollment ID: I20110613000386 |
Provider Name | Karl Roman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528517372 PECOS PAC ID: 2769898519 Enrollment ID: I20210303001082 |
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