| Jewish Family And Children's Service | |
|
705 Summerfield Ave Asbury Park NJ 07712-6921 | |
| (732) 774-6886 | |
| (732) 774-8809 |
| Full Name | Jewish Family And Children's Service |
|---|---|
| Speciality | Social Worker |
| Location | 705 Summerfield Ave, Asbury Park, New Jersey |
| Authorized Official Name and Position | Leslie A Kornfeld (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7327746886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family And Children's Service 705 Summerfield Ave Asbury Park NJ 07712-6921 Ph: (732) 774-6886 | Jewish Family And Children's Service 705 Summerfield Ave Asbury Park NJ 07712-6921 Ph: (732) 774-6886 |
| NPI Number | 1164540274 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Medicare PECOS PAC ID | 0042283962 |
|---|---|
| Medicare Enrollment ID | O20040818000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164540274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 100980104 (New Jersey) | Primary |
| Provider Name | David E Wolff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699971200 PECOS PAC ID: 4486621224 Enrollment ID: I20040913000371 |
| Provider Name | Sheri Bald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144390386 PECOS PAC ID: 9133228083 Enrollment ID: I20070619000251 |
| Provider Name | Obinna Ezealor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487164190 PECOS PAC ID: 8426319658 Enrollment ID: I20180302000322 |
| Provider Name | Wendy Zagha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609284538 PECOS PAC ID: 3779814868 Enrollment ID: I20191003001084 |
| Provider Name | Ellen H Ashinoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780915967 PECOS PAC ID: 5193120897 Enrollment ID: I20210818002131 |
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