| Family Service Bureau Of Newark | |
|
274 S Orange Ave 2nd Floor Newark NJ 07103-2419 | |
| (973) 412-2056 | |
| (973) 484-3452 |
| Full Name | Family Service Bureau Of Newark |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 274 S Orange Ave, Newark, New Jersey |
| Authorized Official Name and Position | Chi Shu Chou (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 9734122056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Bureau Of Newark 274 S Orange Ave 2nd Floor Newark NJ 07103-2419 Ph: (973) 412-2056 | Family Service Bureau Of Newark 274 S Orange Ave 2nd Floor Newark NJ 07103-2419 Ph: (973) 412-2056 |
| NPI Number | 1376673814 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 10/11/2018 |
| Medicare PECOS PAC ID | 1850346164 |
|---|---|
| Medicare Enrollment ID | O20050321000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376673814 | NPI | - | NPPES |
| 0021105 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101050204 (New Jersey) | Primary |
| Provider Name | Ariel G Almacen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033257241 PECOS PAC ID: 8224193123 Enrollment ID: I20090210000050 |
| Provider Name | Karl Roman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528517372 PECOS PAC ID: 2769898519 Enrollment ID: I20210303001082 |
| Provider Name | Christina Marie Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235702135 PECOS PAC ID: 2860897485 Enrollment ID: I20210819003306 |
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